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ALICIA DIANE BONNER B.A.
NPI 1346519311
Case Manager/Care Coordinator in Gautier, MS

Active since December 21, 2011
3407 SHAMROCK CT, GAUTIER, MS 39553(228) 497-0690(228) 497-1363 Get Directions Write a Review

NPPES record last updated: December 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alicia Diane Bonner B.a. NPPES

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

ALICIA DIANE BONNER B.A. (NPI 1346519311) is an individual case manager/care coordinator provider in Gautier, Mississippi and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1346519311
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameALICIA DIANE BONNERCredential: B.A.
Location Address3407 SHAMROCK CTGautier, MS 39553-6429
Mailing Address3407 Shamrock CtGautier, MS 39553-6429 · (228) 497-0690 · Fax (228) 497-1363
Phone(228) 497-0690
Fax(228) 497-1363
Sole ProprietorNo
Enumeration DateDecember 21, 2011
✔ NPI 1346519311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
3407 SHAMROCK CT, Gautier, MS 39553
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Other Names 1

Former Name (1)Alicia Diane Moody

Other Identifiers 1

Medicaid00018214MS

Other Providers at the Same Location NPPES 20

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

MS. PEGGY LYNN FENDLEY M.ED.
Counselor (Mental Health)
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
SINGING RIVER SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
MRS. JODI LEIGHANN CARLISLE MS COUNSELING PSYCHO
Counselor (Mental Health)
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
LANESHA JOSHUA BSW
Case Manager/Care Coordinator
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
DANA WEEKS
Case Manager/Care Coordinator
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
HILARY LOUISE PENNELL B.S.
Case Manager/Care Coordinator
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
MS. ANGELA DENISE TOUCHET B.S.
Case Manager/Care Coordinator
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690
VALENCIA HENDERSON
Counselor (Mental Health)
3407 SHAMROCK CT
GAUTIER, MS 39553
Jackson County (228) 497-0690

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 Alicia Bonner's NPI number?

The NPI number for Alicia Bonner is 1346519311. It was assigned to this individual provider in the NPPES registry on December 21, 2011. The provider is also known as Alicia Diane Moody.

Where is Alicia Bonner located?

Alicia Bonner practices at 3407 Shamrock Ct, Gautier, MS 39553. The listed phone number is (228) 497-0690.

What is Alicia Bonner's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Alicia Bonner was last updated on December 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.