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MISTY M BONHAM LCSW
NPI 1467010397
Social Worker - Clinical in Canby, OR

Active since June 05, 2019PECOS EnrolledAccepts Medicare Assignment
358 NW 1ST AVE STE 3, CANBY, OR 97013(503) 427-8255(971) 377-2995 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 16, 2023, Aug 7, 2023, Jan 10, 2020 and 1 more (4 updates tracked since 2019).

About Misty M Bonham Lcsw NPPES

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

MISTY M BONHAM LCSW (NPI 1467010397) is an individual clinical provider in Canby, Oregon, licensed in Oregon (L11217) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1467010397
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISTY M BONHAMCredential: LCSW
Location Address358 NW 1ST AVE STE 3Canby, OR 97013-3533
Mailing AddressPo Box 755Canby, OR 97013-0755 · (503) 427-8255 · Fax (971) 377-2995
Phone(503) 427-8255
Fax(971) 377-2995
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJune 5, 2019
Last NPPES UpdateOctober 16, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2023
✔ NPI 1467010397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OR · L11217
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
358 NW 1ST AVE STE 3, Canby, OR 97013
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Misty M Bonham Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981047578
PECOS Enrollment IDI20240212000599
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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's NPI number?

The NPI number for Misty Bonham is 1467010397. It was assigned to this individual provider in the NPPES registry on June 5, 2019.

Where is Misty Bonham located?

Misty Bonham practices at 358 NW 1st Ave Ste 3, Canby, OR 97013. The listed phone number is (503) 427-8255.

What is Misty Bonham's specialty?

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

Is Misty Bonham enrolled in Medicare?

Yes. Misty Bonham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Misty Bonham accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Misty Bonham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Misty Bonham was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.