Bonham Psychotherapy Services
NPI 1457127722ActiveOrganization· Social Worker, Clinical· Grand Rapids, MN
Social Worker, Clinical in Grand Rapids, Minnesota, registered in NPPES in November 2023. The authorized official on file is Darra A. Bonham, MSW, LICSW, Clinical Social Worker.
Overview
| NPI | 1457127722 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 28, 2023 |
| Last updated in NPPES | Jan 26, 2024 |
| Certified by provider | Jan 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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