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MRS. KATHERINE I BONILLA LMSW, LADC
NPI 1740530336
Social Worker - Clinical in Willimantic, CT

Active since September 12, 2012PECOS Enrolled
872 MAIN ST, WILLIMANTIC, CT 06226(860) 985-3494 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Katherine I Bonilla Lmsw, Ladc NPPES

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

MRS. KATHERINE I BONILLA LMSW, LADC (NPI 1740530336) is an individual clinical provider in Willimantic, Connecticut, licensed in Connecticut (010124) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740530336
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KATHERINE I BONILLACredential: LMSW, LADC
Location Address872 MAIN STWillimantic, CT 06226-2342
Mailing Address44 Ashford Lake DrAshford, CT 06278-1201 · (860) 646-3888 · Fax (860) 645-4132
Phone(860) 985-3494
Sole ProprietorYes
Enumeration DateSeptember 12, 2012
Last NPPES UpdateApril 9, 2019
✔ NPI 1740530336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 010124
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.
872 MAIN ST, Willimantic, CT 06226
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Other Identifiers 1

Other001366CT · Master's Level Social Worker

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Katherine I Bonilla Lmsw, Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Katherine Bonilla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of Connecticut
25 mi
Psychiatric Hospital
500 VINE STREET
Hartford, CT 06112
  • Reassigned Medicare billing, Connecticut enrollment
  • 109 clinicians in this Medicare group
NPI 1487689022 (860) 297-0975

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06226 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 Katherine Bonilla's NPI number?

The NPI number for Katherine Bonilla is 1740530336. It was assigned to this individual provider in the NPPES registry on September 12, 2012.

Where is Katherine Bonilla located?

Katherine Bonilla practices at 872 Main St, Willimantic, CT 06226. The listed phone number is (860) 985-3494.

What is Katherine Bonilla's specialty?

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

Is Katherine Bonilla enrolled in Medicare?

Yes. Katherine Bonilla is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katherine Bonilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Bonilla reassigns Medicare benefits to State Of Connecticut (Hartford, CT). The 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 Katherine Bonilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Bonilla accept?

Health plans from Anthem Blue Cross and Blue Shield list Katherine Bonilla 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 Katherine Bonilla was last updated on April 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.