MISTY BONHAM LLC NPI 1417729872

NPI Information

  • NPI: 1417729872
  • Provider Name: MISTY BONHAM LLC
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 358 NW 1ST AVE
    CANBY, OR
    ZIP 97013
  • Phone: (503) 427-8255

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NPI Details

MISTY BONHAM LLC is a clinical social worker in Canby, OR. The provider is 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. MISTY BONHAM LLC NPI is 1417729872. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

358 NW 1ST AVE
CANBY, OR
ZIP 97013-533
Phone: (503) 427-8255

The provider's authorized official is Misty Bonham .
The authorized official title is Owner/lcsw and has the following contact phone number (503) 427-8255.

The enumeration date for this NPI number is 10/27/2023 and was last updated on 10/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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