Bonita Porter is a Clinical in West End, North Carolina. Bonita Porter practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bonita Porter is 1063429587. The last update date is 2007-07-08.
Bonita Porter's current location address is Po Box 9, West End, North Carolina. You can contact this provider via phone number 9106739111 and fax number 9106736202. The mailing address for Bonita Porter is Po Box 9, West End, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonita Porter |
|---|---|
| Address | Po Box 9, West End, North Carolina |
| Phone Number | 9106739111 |
| Fax Number | 9106736202 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1063429587 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 9 |
|---|---|
| City | West End |
| State | North Carolina (NC) |
| Post Code | 273760009 |
| Phone Number | 9106739111 |
| Fax Number | 9106736202 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C001693 |
|
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6003576 | NC | -- |
Post Comment/ Review Below
What is the Bonita Porter's unique identification number?
The Bonita Porter has been assigned the NPI (National Provider Identifier) Number 1063429587 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Bonita Porter is geographically located?
The Bonita Porter is physically situated at the following location: Po Box 9, West End, NC, 273760009.
What is the Bonita Porter's area of specialization and corresponding taxonomy classification?
The Bonita Porter's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1063429587 to Bonita Porter?
The Bonita Porter received its 1063429587 assignment from the Centers for Medicare & Medicaid Services on 2006-08-01.
As of what date were the details related to Bonita Porter most recently updated or revised?
The information pertaining to Bonita Porter, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN