MISTY BONHAM LLC
NPI 1417729872
Social Worker - Clinical in Canby, OR

Active since October 27, 2023
358 NW 1ST AVE, CANBY, OR 97013(503) 427-8255 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Misty Bonham Llc NPPES

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

MISTY BONHAM LLC (NPI 1417729872) is a healthcare organization registered as a clinical in Canby, Oregon and active in the NPI registry since October 2023. The organization lists Misty Bonham, Owner/lcsw, as its authorized official.

NPPES Registry Identity

NPI1417729872
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMISTY BONHAM LLC
Location Address358 NW 1ST AVECanby, OR 97013-3533
Mailing AddressPo Box 755Canby, OR 97013-0755 · (503) 427-8255
Organization SubpartNo
Authorized OfficialMisty BonhamOwner/lcsw · (503) 427-8255
Enumeration DateOctober 27, 2023
NPPES CertifiedOctober 27, 2023
NPI 1417729872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.

358 NW 1ST AVE, Canby, OR 97013

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Misty Bonham LLC's NPI number?

The NPI number for Misty Bonham LLC is 1417729872. It was assigned to this organization in the NPPES registry on October 27, 2023.

Where is Misty Bonham LLC located?

Misty Bonham LLC is located at 358 NW 1st Ave, Canby, OR 97013. The listed phone number is (503) 427-8255.

What is Misty Bonham LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Misty Bonham LLC was last updated on October 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.