Bonnie Gourley, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S0600862 Issued in OH

Practice address

623 Park Meadow Rd Ste H
Westerville, OH 43081-2876

Phone

(614) 558-4927

Fax

(855) 740-2025

NPI assigned

Jul 12, 2017

Last updated

Jul 12, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499817600000",
    "number": "1942722715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623-H PARK MEADOW ROAD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "43081",
            "telephone_number": "614-774-1120",
            "fax_number": "855-740-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 PARK MEADOW RD STE H",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812876",
            "telephone_number": "614-558-4927",
            "fax_number": "855-740-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOURLEY",
        "first_name": "BONNIE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S0600862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "S0600862",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dena Gost, MD
• Robert Stephen Gotfried, DO
• Marti Ann Gottfried, PC
• John Gouhin
• Robert E Gould, DO
• Asha Gowda, MD, MS
• Akash Goyal, MD
• Lindsey Nicole Grabiec, MS
• Aaron Z Grabovich, AA
• Grace Medical

• Clinical Social Worker in Westerville, OH
• Providers in Westerville, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.