BONITA EDMONDSON LCSW
NPI 1861287377
Social Worker - Clinical in Louisville, KY

Q: What is Bonita Edmondson's NPI number?

The NPI number for Bonita Edmondson is 1861287377. It was assigned to this individual provider in the NPPES registry on April 14, 2025.

Q: What is Bonita Edmondson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bonita Edmondson was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since April 14, 2025PECOS EnrolledAccepts Medicare Assignment

3430 NEWBURG RD STE 210, LOUISVILLE, KY 40218(502) 454-8800 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bonita Edmondson Lcsw NPPES

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

BONITA EDMONDSON LCSW (NPI 1861287377) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (3039) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1861287377

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameBONITA EDMONDSONCredential: LCSW

Location Address3430 NEWBURG RD STE 210Louisville, KY 40218-2458

Mailing Address3711 Cutler RdLouisville, KY 40219-3711

Phone(502) 454-8800

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateApril 14, 2025

NPPES CertifiedApril 14, 2025

✔ NPI 1861287377 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 KY · 3039

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 · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 168832 (KY)

3430 NEWBURG RD STE 210, Louisville, KY 40218

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Bonita Edmondson 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 ID840795126

PECOS Enrollment IDI20250926001187

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 40218 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 $52.76 – $162.27

Typical copayment $0.00 (range $13.19 – $40.56)

Most-billed visit code NA

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

Other Providers at the Same Location NPPES 10

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

ZAFRIN B SYED M.D.

Psychiatry & Neurology (Psychiatry)