Kimberly Lynn Bonner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW015247 Issued in PA

Practice address

961 Marcon Blvd
Suite 312
Allentown, PA 18109

Phone

(610) 266-0610

Fax

(610) 266-0292

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Glenn R Koch and Associates LLCGroup PAC ID 0840638003, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Glenn R. Koch & Associates, LLC

  • Counseling Psychologist
  • Allentown, PA
  • NPI 1093122699
  Medicare reassignment Care Compare group NPD
• Glenn R Koch and Associates Inc

  • Psychiatry Physician
  • Allentown, PA
  • NPI 1700949161
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912059585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 MARCON BLVD",
            "address_2": "SUITE 312",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18109",
            "telephone_number": "610-266-0610",
            "fax_number": "610-266-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 MARCON BLVD",
            "address_2": "SUITE 312",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18109",
            "telephone_number": "610-266-0610",
            "fax_number": "610-266-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BC",
            "identifier": "50031896",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Julia Bone, PA-C
• Angelica Marie Bonisese
• Bonita Springs Home Care LLC
• Pamella Mellisa Bonner-Graveley
• Edward Bonner, LPC
• Ashley Ahema Bonney, MD
• Bonnie E. B. Osterwald, MD,PC
• Charles Theodore Bonos III, M.D.
• Mandi Boone, PA-C
• Samantha Boone, PSYD

• Clinical Social Worker in Allentown, PA
• Providers in Allentown, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.