Deborah Lynn Bonham, LCSW | |
1269 Doctors Dr, Farmington, MO 63640-2947 | |
(573) 664-1146 | |
(573) 664-1149 |
Full Name | Deborah Lynn Bonham |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1269 Doctors Dr, Farmington, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023497468 | NPI | - | NPPES |
003618 | Other | MO | LCSW LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 003618 (Missouri) | Primary |
Entity Name | Residential Psychiatric Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467453894 PECOS PAC ID: 3870576390 Enrollment ID: O20040608000024 |
Mailing Address | Practice Location Address |
---|---|
Deborah Lynn Bonham, LCSW 1269 Doctors Dr, Farmington, MO 63640-2947 Ph: (573) 664-1146 | Deborah Lynn Bonham, LCSW 1269 Doctors Dr, Farmington, MO 63640-2947 Ph: (573) 664-1146 |
Mrs. Wenona H Mickan, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-747-2438 | |
Mrs. Julie Ann Downs, MSW/LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 118 West Pine Plaza, Farmington, MO 63640 Phone: 573-701-0330 Fax: 573-701-0330 | |
Rachael Christine Holloway, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-756-5353 | |
William Jeffrey Jones, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-756-5353 | |
Misty Dawn Fowler, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-366-4659 | |
Mrs. Melissa L. Black, MSW/LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 118 West Pine Plaza, Farmington, MO 63640 Phone: 573-701-0330 Fax: 573-701-0330 |