Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JUSTIN BONASERA
NPI 1245140219
Social Worker - School in Coon Rapids, MN

Active since September 10, 2026
11600 RAVEN ST NW, COON RAPIDS, MN 55433(763) 506-4800 Get Directions Write a Review

NPPES record added: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Justin Bonasera NPPES

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

JUSTIN BONASERA (NPI 1245140219) is an individual school provider in Coon Rapids, Minnesota, licensed in Minnesota (34707) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1245140219
Entity TypeIndividualMale
Primary Taxonomy1041S0200X
Provider Legal NameJUSTIN BONASERA
Location Address11600 RAVEN ST NWCoon Rapids, MN 55433-3011
Mailing Address2727 N Ferry StAnoka, MN 55303-1650
Sole ProprietorNo
Enumeration DateSeptember 10, 2026
NPPES CertifiedSeptember 10, 2026
NPI 1245140219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
License Licensed in MN · 34707
11600 RAVEN ST NW, Coon Rapids, MN 55433

Other Providers at the Same Location NPPES

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

Speech-Language Pathologist
11600 RAVEN ST NW
COON RAPIDS, MN 55433

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 Justin Bonasera's NPI number?

The NPI number for Justin Bonasera is 1245140219. It was assigned to this individual provider in the NPPES registry on September 10, 2026.

Where is Justin Bonasera located?

Justin Bonasera practices at 11600 Raven St NW, Coon Rapids, MN 55433. The listed phone number is (763) 506-4800.

What is Justin Bonasera's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

When was this NPI record last updated?

The NPPES record for Justin Bonasera was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.