Bonnie Armentrout, LICW
Individual provider Active NPI Clinical Social Worker · Baker, WV
NPI 1922400274 · NPPES record last updated Sep 18, 2014
Key facts
- NPI
- 1922400274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- DP02943646 (WV)
- Practice address
- 17978 Sr 55
Baker, WV 26801-0097 - Phone
- (304) 897-5915
- Fax
- (304) 897-6216
- NPI assigned
- Sep 18, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- CPT
Practice addresses (Care Compare)
249 Henderson Ave
Cumberland, MD 21502-1638
Phone (240) 362-7444
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181129001899 | MD | Practitioner - Clinical Social Worker | 8426374703 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DP02943646 | WV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CPT | Current |
Accepting new patients |
Locations
249 Henderson Ave
Cumberland, MD 21502
Phone (240) 362-7444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | DP02943646 | WV | Yes |
Addresses
Primary practice location
17978 Sr 55
Baker, WV 26801-0097
Mailing address
PO Box 97
Baker, WV 26801-0097
Phone (304) 897-5915
Other providers in Baker, WV
- Lisa Marie Basye
- Maria L Bechdel
- Karen Ryman Bradfield
- Eston Robert Caldwell III
- Melanie Anna Calixto
All providers in Baker, WV · Clinical Social Worker in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.