Individual provider Active NPI

Bonnie Gore Garnette, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1982719035
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6207 Issued in LA
Practice address
7400 Merton Minter Blvd.
South Texas Veterans Health Care System
San Antonio, TX 78229
Phone
(210) 617-5300
Fax
(210) 949-3326
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6207 LA Primary
Clinical Social Worker 1041C0700X C005526 NC
Clinical Social Worker 1041C0700X 9408 SC

Addresses

Primary practice location

7400 Merton Minter Blvd.
South Texas Veterans Health Care System
San Antonio, TX 78229

Mailing address

6418 Eckhert Rd
Apt # 4202
San Antonio, TX 78240-2896
Phone (225) 405-1992

Other identifiers 3

IdentifierTypeStateIssuer
9408OtherSCSTATE BOARD OF SOCIAL WORK LICENSURE
C005526OtherNCSTATE BOARD OF SOCIAL WORK LICENSURE
6207OtherLASTATE BOARD OF SOCIAL WORK LICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6207LAMDClinical Social Worker
C005526NCMDClinical Social Worker
9408SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1982719035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6418 ECKHERT RD",
            "address_2": "APT # 4202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402896",
            "telephone_number": "225-405-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 MERTON MINTER BLVD.",
            "address_2": "SOUTH TEXAS VETERANS HEALTH CARE SYSTEM",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-617-5300",
            "fax_number": "210-949-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNETTE",
        "first_name": "BONNIE",
        "middle_name": "GORE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "6207",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005526",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9408",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF SOCIAL WORK LICENSURE",
            "identifier": "9408",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF SOCIAL WORK LICENSURE",
            "identifier": "C005526",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF SOCIAL WORK LICENSURE",
            "identifier": "6207",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.