Individual provider Active NPI

Sarah Bonnette, LISW-S

  • Clinical Social Worker
  • Broadview Heights, OH
National Provider Identifier
1912649062
Registry record updated Apr 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0009569 Issued in OH
Practice address
7968 Skyline Dr
Broadview Heights, OH 44147-1521
Phone
(216) 496-1582
NPI assigned
Apr 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-0009569 OH Primary

Addresses

Primary practice location

7968 Skyline Dr
Broadview Heights, OH 44147-1521

Mailing address

7968 Skyline Dr
Broadview Heights, OH 44147-1521
Phone (216) 496-1582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, ME, CT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20260102003259 OH Practitioner - Clinical Social Worker 0143716720 Reassigns benefits to 1 organization
I20260130001875 ME Practitioner - Clinical Social Worker 0143716720 Reassigns benefits to 1 organization
I20260316001997 CT Practitioner - Clinical Social Worker 0143716720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

100 Pearl St
FL 14
Hartford, CT 06103-4500
Phone (866) 630-0966

20 S 3Rd St
Suite 210
Columbus, OH 43215-4206
Phone (866) 630-0966

63 Federal St
Suite 15
Portland, ME 04101-4222
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0009569OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Nov 19, 2025 Accepting new patients

Locations

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

63 Federal St
Portland, ME 04101
Phone (207) 560-0551

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1649548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649548800000",
    "number": "1912649062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7968 SKYLINE DR",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441471521",
            "telephone_number": "216-496-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7968 SKYLINE DR",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441471521",
            "telephone_number": "216-496-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNETTE",
        "first_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-10",
        "last_updated": "2022-04-10",
        "certification_date": "2022-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0009569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadview Heights, OH

Sources for this page

Verify at the official NPI Registry.