Sharon Bonnett, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14372 Issued in MN

Practice address

1029 3Rd Ave Ste 2
Worthington, MN 56187-2399

Phone

(507) 343-3822

Fax

(507) 343-3819

NPI assigned

May 31, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1912499518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 3RD AVE STE 2",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872399",
            "telephone_number": "507-343-3822",
            "fax_number": "507-343-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 3RD AVE STE 2",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872399",
            "telephone_number": "507-343-3822",
            "fax_number": "507-343-3819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 2nd St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MN",
            "postal_code": "561431638",
            "country_code": "US",
            "telephone_number": "507-847-4070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONNETT",
        "first_name": "SHARON",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "14372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Carrigg Greene Bishop, MT-BC
• Shelby Lynn Black, CNP
• Victoria Blanchette, NP-C
• Nicole Block, CNP
• Sarkis Bolisajian, MD
• Savannah Laine Bowen
• Janine Alice Bremer, DC
• Denise L Brickson, CRNA
• Bryan Broussard, D.D.S.
• Bruce WM. Anderson, D.D.S., PA

• Clinical Social Worker in Worthington, MN
• Providers in Worthington, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.