ELIZABETH BONHAM (NPI# 1184250771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184250771 |
| Entity Type | Individual |
| Full Name | ELIZABETH BONHAM |
| Practice Address |
3101 S Gulley Rd Ste F Dearborn MI 48124-4406 |
| Practice Telephone | 7344072500 |
| Practice Fax Number | 3137928962 |
| Mailing Telephone | 7344072500 |
| Mailing Fax Number | 3137928962 |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801105726 | MN | Behavioral Health & Social Service Providers |
| Street Address |
3101 S GULLEY RD STE F |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700018447 | Joi Mitchell | Speech-Language Pathologist | 3101 S Gulley Rd Ste F, Dearborn, MI 48124-4406 | 2009-08-13 |
| 1942807490 | Baileigh Hawn | Registered Nurse | 3101 S Gulley Rd Ste F, Dearborn, MI 48124-4406 | 2020-10-07 |
| 1083240667 | Taylor Pauline Talbot | Occupational Therapist | 3101 S Gulley Rd Ste F, Dearborn, MI 48124-4406 | 2020-03-16 |
| 1699300244 | Zachary A Zitnik | Occupational Therapist | 3101 S Gulley Rd Ste F, Dearborn, MI 48124-4406 | 2020-03-04 |
| 1861026601 | Anna R Benson | Speech-Language Pathologist | 3101 S Gulley Rd Ste F, Dearborn, MI 48124-4406 | 2020-03-02 |
| 1437782703 | Veronica B Bennett | Speech-Language Pathologist | 3101 S Gulley Rd Ste F, Dearborn, MI 48124-4406 | 2020-02-14 |
| 1407495427 | Alexa K Noyes | Speech-Language Pathologist | 3101 S Gulley Rd Ste F, Dearborn, MI 48124-4406 | 2019-12-23 |
| 1295374213 | Morgan N Kopietz | Speech-Language Pathologist | 3101 S Gulley Rd Ste F, Dearborn, MI 48124-4406 | 2019-12-23 |
| 1235775594 | Alexandra Nicole Hartley | Speech-Language Pathologist | 3101 S Gulley Rd Ste F, Dearborn, MI 48124-4406 | 2019-11-21 |
| 1992341267 | Megan Anne Gurka | Speech-Language Pathologist | 3101 S Gulley Rd Ste F, Dearborn, MI 48124-4406 | 2019-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902380181 | Greta Elizabeth Kaempf | Social Worker | 835 Mason St Ste A135, Dearborn, MI 48124-2231 | 2018-09-24 |
| 1518483759 | Nichole Louise Garcia | Social Worker | 18215 Audette St, Dearborn, MI 48124-4218 | 2017-08-18 |
| 1003350273 | Candace Pendergraft | Social Worker | 6801 Mead St, Dearborn, MI 48126-1736 | 2016-12-07 |
| 1295197572 | Candice Marie Cooper | Social Worker | 23810 Michigan Ave Ste 202b, Dearborn, MI 48124-1830 | 2016-03-24 |
| 1417323957 | Stephanie Manard | Social Worker | 15200 Mercantile Dr, Dearborn, MI 48120-1207 | 2015-08-19 |
| 1649655838 | Jeffrey Leonard Bachynski | Social Worker | 15200 Mercantile, Dearborn, MI 48120 | 2015-07-29 |
| 1700263811 | Henry Zawu | Social Worker | 15569 Knollwood Dr, Dearborn, MI 48120-1353 | 2015-04-28 |
| 1447669650 | Rola Harajli | Social Worker | 6451 Schaefer Street, Dearborn, MI 48126 | 2014-08-13 |
| 1811314123 | Suzana Apostolovski | Social Worker | 19025 Audette St, Dearborn, MI 48124-4275 | 2014-03-25 |
| 1578902920 | Kwesi O Mcgill | Social Worker | 25 Brookline Ln, Dearborn, MI 48120-1037 | 2013-06-19 |
| Find all providers in DEARBORN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.