Individual provider Active NPI

Ryann Bonilla, LCSW

  • Clinical Social Worker
  • Fall River, MA
National Provider Identifier
1942773387
Registry record updated Mar 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
222569 Issued in MA
Practice address
201 Rock St
Fall River, MA 02720-3211
Phone
(508) 823-9355
Fax
(508) 823-9357
NPI assigned
Jan 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2021

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 222569 MA Primary

Addresses

Primary practice location

201 Rock St
Fall River, MA 02720-3211

Mailing address

164 Reynolds Ave
Rehoboth, MA 02769-3015
Phone (508) 386-7916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20191224000566 MA Practitioner - Clinical Social Worker 9739513821 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6 Pleasant St
Suite E
Taunton, MA 02780-3263
Phone (508) 386-7916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
222569MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing With Hope Counseling Inc. Clinical CurrentSince Apr 1, 2021 Accepting new patients
Compassionate Counseling Company CurrentSince Nov 12, 2019 Accepting new patients
The Woman at the Well, Inc Past Accepting new patients

Locations

4 Hartwell St
Ste 201
Fall River, MA 02721
Phone (774) 218-5440

201 Rock St
Fall River, MA 02720
Phone (508) 386-7916

222 Milliken Blvd
Ste 3
Fall River, MA 02721
Phone (508) 386-7916

Organizations & group practices 3

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": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1942773387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 REYNOLDS AVE",
            "city": "REHOBOTH",
            "state": "MA",
            "postal_code": "027693015",
            "telephone_number": "508-386-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ROCK ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203211",
            "telephone_number": "508-823-9355",
            "fax_number": "508-823-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "RYANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "222569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.