Danielle R Bonich, LCSW | |
5357 Chapel Hill Rd, Douglasville, GA 30135-5027 | |
(770) 942-4742 | |
(770) 293-0786 |
Full Name | Danielle R Bonich |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 16 Years |
Location | 5357 Chapel Hill Rd, Douglasville, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427390590 | NPI | - | NPPES |
97924545 | Other | GA | BLUE CROSS BLUE SHIELD |
2028016137 | Other | GA | MEDICARE PTAN |
4829878 | Other | GA | CIGNA |
81-3033255 | Other | GA | REVIVAL COUNSELING SERVICES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW004789 (Georgia) | Primary |
Entity Name | Revival Counseling Services Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831647213 PECOS PAC ID: 4284921818 Enrollment ID: O20160927000140 |
Mailing Address | Practice Location Address |
---|---|
Danielle R Bonich, LCSW 4131 High Country Dr, Douglasville, GA 30135-4265 Ph: (678) 656-8249 | Danielle R Bonich, LCSW 5357 Chapel Hill Rd, Douglasville, GA 30135-5027 Ph: (770) 942-4742 |
Alexis Averett, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 912 Meadowood Ln, Douglasville, GA 30135 Phone: 678-522-0119 | |
Michelle D. Wigley, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8820 Hospital Dr, Douglasville, GA 30134 Phone: 770-947-3000 | |
Nikita Suzanne Morency, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3492 Highway 5 Apt 101, Douglasville, GA 30135 Phone: 678-739-9348 | |
Melisa Sims, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5945 Double Birch, Douglasville, GA 30135 Phone: 770-401-2362 | |
Mrs. Pagrita Compagaris Fuller, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8335 Office Park Dr, Douglasville, GA 30134 Phone: 678-324-0476 | |
Tammy Stoner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6855 Creekwood Dr, Douglasville, GA 30135 Phone: 770-639-7719 | |
Mariah Corcoran, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8514 Price Ave, Douglasville, GA 30134 Phone: 610-331-1690 |