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NPI Code Detail

MEDICARE: ALYSSA MARIE BONNETT LCSW

MEDICARE:   ALYSSA MARIE BONNETT  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker2024041484MO

General Provider Information

NPI Number : 1952255515
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA MARIE BONNETT LCSW
Provider Business Mailing Address
First Line : 8040 N GLEN MEADOW DR
Second Line :
City : COLUMBIA
State : MO
Zip : 65202-5577
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3 HOSPITAL DR
Second Line :
City : COLUMBIA
State : MO
Zip : 65201-5276
Country : US
Telephone Number : 573-884-1093
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2026
Last Update Date : 02/23/2026

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Directions to “ ALYSSA MARIE BONNETT LCSW” Practice Location

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