MS. MARCI DANIELLE BONNER (NPI# 1194902486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194902486 |
| Entity Type | Individual |
| Full Name | MS. MARCI DANIELLE BONNER |
| Credential | M.ED. |
| Practice Address |
520 Dudley Street Roxbury MA 02119 |
| Practice Telephone | 6179899499 |
| Practice Fax Number | 6174452672 |
| Mailing Telephone | 6179899499 |
| Mailing Fax Number | 6174452672 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2010-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
520 DUDLEY STREET |
| City | ROXBURY |
| State | MA |
| Zip Code | 02119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598391815 | Latoya Rowell | Peer Specialist | 520 Dudley Street, Roxbury, MA 02119-2925 | 2020-03-18 |
| 1285289595 | Lindsey Keith | Counselor | 520 Dudley Street, Roxbury, MA 02119 | 2019-08-04 |
| 1649790460 | Najah Harris | Community Health Worker | 520 Dudley Street, Roxbury, MA 02119 | 2017-06-22 |
| 1851847503 | Alexis Lamb | Social Worker | 520 Dudley Street, Roxbury, MA 02119 | 2016-08-31 |
| 1417331760 | Keveisha Robinson Clark | Counselor | 520 Dudley Street, Roxbury, MA 02119-2772 | 2015-07-16 |
| 1003243791 | Denita Washington | Counselor | 520 Dudley Street, Roxbury, MA 02119 | 2013-09-26 |
| 1801222062 | Michelle Oliveira Lima | Counselor | 520 Dudley Street, Roxbury, MA 02119 | 2013-09-19 |
| 1700147600 | Josette Appolon | Counselor | 520 Dudley Street, Roxbury, MA 02119-3000 | 2012-06-06 |
| 1841574704 | Shannon Joy Cain | Psychologist | 520 Dudley Street, Roxbury, MA 02120 | 2011-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
| 1962021089 | Taha Fathima Khan | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-04-09 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1720536568 | Ramy Y Barrett | Counselor | 77 Savin Street, Apartment # 3, Boston, MA 02119 | 2016-09-21 |
| 1083089676 | Natasha Cruz | Counselor | 263 Eustis Street, Roxbury, MA 02119 | 2015-12-08 |
| 1922478486 | Natalie Jones | Counselor | 520 Dudley St., Roxbury, MA 02119 | 2015-09-28 |
| 1922484799 | Dina Ghaly-habib | Student in an Organized Health Care Education/Training Program | 100 East Newton St., G-706, Boston, MA 02119 | 2015-08-04 |
| 1942697248 | Pyramid Builders | Case Management | 11 Roxbury Street, Boston, MA 02119 | 2015-04-24 |
| 1063810984 | Sophia Smalls | Counselor | 250 Walnut Ave, Apt. 10, Boston, MA 02119 | 2014-12-09 |
| 1750705059 | Alasa Hawkins | Counselor | 502 Dudley St, Roxbury, MA 02119 | 2014-02-07 |
| Find all providers in zip 02119 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661511 | A Bucket for The Well LLC. | Counselor | 100 Warren St Ste 1a, Roxbury, MA 02119-3259 | 2020-08-28 |
| 1689292831 | Maria Pia Biggs | Counselor | 409 Walnut Ave, Roxbury, MA 02119-3133 | 2020-07-13 |
| 1699322313 | Kristen Lourens | Counselor | 64b Regent St, Roxbury, MA 02119-1980 | 2019-08-19 |
| 1366954570 | Anthony Dewayne Quarles Jr. | Counselor | 520 Dudley St Fl 2, Roxbury, MA 02119-2769 | 2017-10-27 |
| 1043694060 | Jennifer Price | Counselor | 82 Rockland St, Apt. 3f, Roxbury, MA 02119-1966 | 2015-07-20 |
| 1255710851 | Jacqueline Smith | Counselor | 40 Dimock Services, Roxbury, MA 02119-0000 | 2015-05-28 |
| 1154749331 | Keyana Jones | Counselor | 11 Roxbury St Fl 2, Roxbury, MA 02119-1720 | 2014-04-03 |
| 1902221344 | Lakia Cherry | Counselor | 11 Roxbury St, Second Floor, Roxbury, MA 02119-1720 | 2014-02-21 |
| 1942633748 | Gelen Zepeda | Counselor | 1544 Columbus Ave, Roxbury, MA 02119-1026 | 2013-08-15 |
| 1932547353 | Chandra C Williams | Counselor | 504 Dudley Street, Roxbury, MA 02121 | 2013-06-07 |
| Find all providers in ROXBURY | ||||
Please comment or provide details below to improve the information on MS. MARCI DANIELLE BONNER.
| 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.