Bonita Austin, LLMSW
Individual provider Active NPI Clinical Social Worker · Milford, MI
NPI 1992553887 · NPPES record last updated May 7, 2024
Key facts
- NPI
- 1992553887
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6851118052 (MI)
- Practice address
- 1203 N Milford Rd Ste C
Milford, MI 48381-1033 - Phone
- (248) 717-3616
- NPI assigned
- May 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851118052 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Well Counseling | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6851118052 | MI | Yes |
Addresses
Primary practice location
1203 N Milford Rd Ste C
Milford, MI 48381-1033
Mailing address
1203 N Milford Rd Ste C
Milford, MI 48381-1033
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- Molly Anne Bacon
- Alexandria Bageris
- Linda Bahri
- Deborah A Bailey
- Elizabeth Ann Bailey
All providers in Milford, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.