MRS. BONNIE WEISS (NPI# 1902001852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902001852 |
| Entity Type | Individual |
| Full Name | MRS. BONNIE WEISS |
| Credential | LCSW |
| Practice Address |
1240 Sussex Tpke Suite 4 Randolph NJ 07869-2944 |
| Practice Telephone | 9732850361 |
| Mailing Telephone | 9732850361 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC00397200 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336355841 | Bonnie Jill Weiss | Social Worker | 140 Marina Vista Ave, Larkspur, CA 94939-2142 | 2007-05-15 |
| 1154484590 | Bonnie A. Weiss | Marriage & Family Therapist | 207 E Saddle River Rd, Saddle River, NJ 07458-2633 | 2006-12-18 |
| Street Address |
1240 SUSSEX TPKE SUITE 4 |
| City | RANDOLPH |
| State | NJ |
| Zip Code | 07869-2944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730183088 | Joseph Thomas Boorady | Optometrist | 1240 Sussex Tpke, Ste 4, Randolph, NJ 07869-2944 | 2005-06-01 |
| 1184905150 | Jennifer E. Geuther | Counselor | 1240 Sussex Tpke, Suite 4, Randolph, NJ 07869-2944 | 2011-09-06 |
| 1568676567 | Maria M. Meehan | Counselor | 1240 Sussex Tpke, Suite 4, Randolph, NJ 07869-2944 | 2007-05-09 |
| 1699987628 | Dale M. Jacobs | Psychologist | 1240 Sussex Tpke, Suite # 4, Randolph, NJ 07869-2944 | 2007-05-03 |
| 1578562906 | Theresa Sokolowski | Optometrist | 1240 Sussex Tpke, Suite 4, Randolph, NJ 07869-2944 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699398149 | Jaclyn Philbin | Dietitian, Registered | 11 Middlebury Boulevard, Suite 9/10, Randolph, NJ 07869 | 2020-05-19 |
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1518516061 | New Jersey Center for Cognitive and Dialectical Behavior Therapy | Clinic/Center | 1250 Sussex Tpke Ste N, Randolph, NJ 07869 | 2019-09-07 |
| 1396306031 | Marilyn (lynn) G Teale | Specialist/Technologist | 1248 Sussex Tpk, Unit B11, Randolph, NJ 07869 | 2019-06-24 |
| 1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
| 1982101309 | Essex County Weightloss, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
| 1699285569 | Raechel Jean Lofaro | Nurse Practitioner | 8 Chestnut Hil Road, Randolph, NJ 07869 | 2017-10-05 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1144739244 | Dickerson Dental Group, LLC | Dentist | 714 Route 10, Randolph, NJ 07869 | 2017-09-21 |
| 1053831479 | Melissa Morgan | Pediatrics | College Plaza Pediatrics, 765 Route 10 East, Ste 203, Randolph, NJ 07869 | 2017-06-27 |
| Find all providers in zip 07869 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154932879 | Pcs Tele-behavioral Health Services LLC | Social Worker | 7 Van Tassel Dr, Randolph, MA 02368-2819 | 2020-08-14 |
| 1932761632 | Carly H Herschman | Social Worker | 2 W Hanover Ave Ste 203, Randolph, NJ 07869-4222 | 2019-07-02 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1073079943 | Elaine M. Gatewood | Social Worker | 1201 Irving Rd, Randolph, MA 02368-1800 | 2019-02-15 |
| 1780150102 | Rita Bouchedid | Social Worker | 46 Center Grove Rd Apt U102, Randolph, NJ 07869-4439 | 2018-10-24 |
| 1841775376 | Vivian Soper | Social Worker | 34 Sarah St, Randolph, MA 02368-1908 | 2018-10-01 |
| 1023592375 | Carolyn Ruth Sheppard | Social Worker | 35 Mcdevitt Rd, Randolph, MA 02368-3850 | 2018-09-23 |
| 1346722832 | Peter Angelos | Social Worker | 33 Fitch Ter, Randolph, MA 02368-5121 | 2018-08-31 |
| 1184103830 | Anthony Bosco | Social Worker | 123 Reed St, Randolph, MA 02368-1621 | 2018-08-13 |
| 1326554064 | Misty Pisani | Social Worker | 47 Collins Ave, Randolph, MA 02368-2003 | 2017-12-18 |
| Find all providers in RANDOLPH | ||||
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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.