Theodora May Bonsall, is a
Social Worker based in Berkeley, California. Theodora May Bonsall is licensed to practice in California (license number 111855) and her current practice location is
3200 Adeline St, Berkeley, California. She can be reached at her office (for appointments etc.) via phone at
(510) 601-0203.
NPI number for Theodora May Bonsall is 1598278251 and her current mailing address is 3001 International Blvd, Oakland, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598278251.
Healthcare Provider's Profile
Full Name | Theodora May Bonsall |
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Gender | Female |
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Speciality | Social Worker |
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Location | 3200 Adeline St, Berkeley, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1598278251
- Provider Enumeration Date: 11/15/2017
- Last Update Date: 03/27/2024
Medical Identifiers
Medical identifiers for Theodora May Bonsall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598278251 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 111855 (California) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
104100000X | Social Worker | 111855 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theodora May Bonsall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Theodora May Bonsall, 3001 International Blvd, Oakland, CA 94601-2203 Ph: (916) 949-9059 | Theodora May Bonsall, 3200 Adeline St, Berkeley, CA 94703-2407 Ph: (510) 601-0203 |
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