BONNIE KATHLEEN LCSW PLLC
NPI 1710678180
Social Worker - Clinical in Van Buren, AR

Active since May 17, 2023
900 DOE RUN TRL, VAN BUREN, AR 72956(479) 414-4652 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bonnie Kathleen Lcsw Pllc NPPES

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

BONNIE KATHLEEN LCSW PLLC (NPI 1710678180) is a healthcare organization registered as a clinical in Van Buren, Arkansas and active in the NPI registry since May 2023. The organization lists Bonnie Morton, Owner, as its authorized official.

NPPES Registry Identity

NPI1710678180
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBONNIE KATHLEEN LCSW PLLC
Location Address900 DOE RUN TRLVan Buren, AR 72956-7382
Mailing Address900 Doe Run TrlVan Buren, AR 72956-7382 · (479) 414-4652
Organization SubpartNo
Authorized OfficialBonnie MortonOwner · (479) 414-4652
Enumeration DateMay 17, 2023
NPPES CertifiedMay 17, 2023
✔ NPI 1710678180 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.
900 DOE RUN TRL, Van Buren, AR 72956

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bonnie Kathleen Lcsw Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bonnie Kathleen Lcsw PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1023391505
3111 S 70TH ST
Fort Smith, AR 72903
(479) 452-6650
✔ PECOS✔ Accepts Medicare10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bonnie Kathleen Lcsw PLLC's NPI number?

The NPI number for Bonnie Kathleen Lcsw PLLC is 1710678180. It was assigned to this organization in the NPPES registry on May 17, 2023.

Where is Bonnie Kathleen Lcsw PLLC located?

Bonnie Kathleen Lcsw PLLC is located at 900 Doe Run Trl, Van Buren, AR 72956. The listed phone number is (479) 414-4652.

What is Bonnie Kathleen Lcsw PLLC's specialty?

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

Is Bonnie Kathleen Lcsw PLLC enrolled in Medicare?

Yes. Bonnie Kathleen Lcsw PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bonnie Kathleen Lcsw PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Bonnie Kathleen Lcsw PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bonnie Kathleen Lcsw PLLC was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.