1. Home
  2. Directory
  3. NPI Profile

SERGIO BONILLA
NPI 1043754682
Social Worker - Clinical in Fpo, AP

Active since December 16, 2016PECOS Enrolled
U.S. NMRTC YOKOSUKA, FPO, AP 96350(315) 243-9224 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2024, Jan 25, 2022, Dec 16, 2016 (3 updates tracked since 2016).

About Sergio Bonilla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERGIO BONILLA (NPI 1043754682) is an individual clinical provider in Fpo, AP, licensed in Florida (SW13997) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043754682
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSERGIO BONILLA
Location AddressU.S. NMRTC YOKOSUKAFpo, AP 96350
Mailing Address2345 Fen View CirIsland Lake, IL 60042-8822 · (224) 325-1276
Phone(315) 243-9224
Sole ProprietorYes
Enumeration DateDecember 16, 2016
Last NPPES UpdateDecember 6, 20243 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
✔ NPI 1043754682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in FL · SW13997✔ Licensed in IL · 149026857
Definition
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.
U.S. NMRTC YOKOSUKA, Fpo, AP 96350
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sergio Bonilla is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON CONFORTE M.ED., ED.S., PH.D.
Psychologist
U.S. NMRTC YOKOSUKA
FPO, AP 96350
(315) 243-8649
MICHAEL TSAI
Anesthesiology
U.S. NMRTC YOKOSUKA, PSC 475
FPO, AP 96350
(315) 243-8649
DR. REBECCA ROSS WELCH DO
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
U.S. NMRTC YOKOSUKA
FPO, AP 96350
(315) 243-8649
MS. ANNE MCCARTHY
Physical Therapist
U.S. NMRTC YOKOSUKA
FPO, AP 96350
(046) 816-7260

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sergio Bonilla's NPI number?

The NPI number for Sergio Bonilla is 1043754682. It was assigned to this individual provider in the NPPES registry on December 16, 2016.

Where is Sergio Bonilla located?

Sergio Bonilla practices at U.S. Nmrtc Yokosuka, Fpo, AP 96350. The listed phone number is (315) 243-9224.

What is Sergio Bonilla's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sergio Bonilla enrolled in Medicare?

Yes. Sergio Bonilla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sergio Bonilla was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.