Michelle Bongiovanni, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.012152 Issued in IL

Practice address

399 NW 2ND Ave
Boca Raton, FL 33432-3845

Phone

(773) 562-8655

NPI assigned

Jan 26, 2016

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

Practice roles

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.

• Agave Studio, LLC

  • Professional Counselor
  • Chicago, IL
  • NPI 1023427861
  NPD (past)

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1972960649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880392",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334880392",
            "telephone_number": "773-562-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 NW 2ND AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323845",
            "telephone_number": "773-562-8655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2950 W Chicago Ave",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606224375",
            "country_code": "US",
            "telephone_number": "312-532-1146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2950 W Chicago Ave",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606224375",
            "country_code": "US",
            "telephone_number": "312-532-1146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONGIOVANNI",
        "first_name": "MICHELLE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keri Bomarito, RD, LD/N
• Bonaventure Health Services Inc.
• Ievgeniia Bonchuk, LMHC
• Bonemender, LLC.
• Gabriella Bonfante, PA-C
• Cindy Bonilla, ARNP
• Linda Bookman, LCSW
• Boost Care Agency, LLC
• Taryn Renee Booth
• Brittany Borbely, PA-C

• Clinical Social Worker in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.