STEPHANIE BONNER (NPI# 1316585896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316585896 |
| Entity Type | Individual |
| Full Name | STEPHANIE BONNER |
| Credential | MS |
| Practice Address |
42 Delsea Dr S Glassboro NJ 08028-2621 |
| Mailing Address |
315 Hessian Ave National Park NJ 08063-1503 |
| Practice Telephone | 8444223632 |
| Mailing Telephone | 8563811219 |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
37AC00424700 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831682608 | Stephanie Bonner | Nurse Anesthetist, Certified Registered | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2018-06-07 |
| 1679813448 | Stephanie Nicole Bonner | Physician Assistant | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2013-02-15 |
| Street Address |
42 DELSEA DR S |
| City | GLASSBORO |
| State | NJ |
| Zip Code | 08028-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689722050 | Pamela Mae Nielsen | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2007-01-08 |
| 1245878354 | Johnnie Lynn Taylor IIi | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-12-19 |
| 1871131268 | Nicole Shute | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-12-16 |
| 1437794419 | Kelley Anne Adelsberger | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-11-13 |
| 1962046565 | Jaclyn Paige Wasiluk | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-11-06 |
| 1962046433 | Marquetta S Surratt | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-10-29 |
| 1083264261 | Jennifer Bayne | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-09-19 |
| 1376104356 | Stefani Lauren Pelly | Social Worker | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-06-21 |
| 1437716206 | Tara-jean Marie Mcdonough | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-05-28 |
| 1518425545 | Christi Erdman | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508320581 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1328 East Boulevard, Glassboro, NJ 08028 | 2019-01-24 |
| 1427512599 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 210 Pennsylvania Avenue, Glassboro, NJ 08028 | 2019-01-23 |
| 1639641210 | Seth Frost | Counselor | 2 Delsea Dr S., Glassboro, NJ 08028 | 2018-12-20 |
| 1083195788 | Strong Tower Social Services, Inc | Clinic/Center | 341 Fish Pond Road, Glassboro, NJ 08028 | 2018-08-22 |
| 1023506730 | Tri-county Support Coordination LLC | Case Management | 275 E High St, Ste S364, Glassboro, NJ 08028 | 2018-04-27 |
| 1558872721 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 32 Reading Street, Apt. #2, Glassboro, NJ 08028 | 2017-10-16 |
| 1073023545 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 960 North Main Street, Glassboro, NJ 08028 | 2017-10-10 |
| 1366978645 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 685 Aura Rd, Glassboro, NJ 08028 | 2017-05-05 |
| 1831623594 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3 Potsdam Court, Glassboro, NJ 08028 | 2017-04-19 |
| 1003340761 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 113 Stoneham Drive, Glassboro, NJ 08028 | 2017-04-19 |
| Find all providers in zip 08028 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023621430 | Christine Hopkins | Counselor | 317 New St E, Glassboro, NJ 08028-2023 | 2020-08-25 |
| 1720463946 | Kelly Deegan | Counselor | 42 S. Delsea Dr, Glassboro, NJ 08081-2621 | 2015-07-29 |
| 1134435134 | Sheri Lynn Colston | Counselor | 200 Evergreen Pkwy, Glassboro, NJ 08028-3254 | 2010-08-27 |
| 1932428240 | Rita Diventi | Counselor | 42 S. Delsea Drive, Glassboro, NJ 08028-2621 | 2010-05-26 |
| 1073747507 | Daniel Kennedy | Counselor | 65 Meadows Dr, Glassboro, NJ 08028-2424 | 2009-05-12 |
| 1700981669 | Michael Considine | Counselor | 42 South Delsea Drive, Glassboro, NJ 08028 | 2006-09-14 |
| 1245878354 | Johnnie Lynn Taylor IIi | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-12-19 |
| 1871131268 | Nicole Shute | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-12-16 |
| 1437794419 | Kelley Anne Adelsberger | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-11-13 |
| 1962046565 | Jaclyn Paige Wasiluk | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-11-06 |
| Find all providers in GLASSBORO | ||||
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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.