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Contact Information

AMY R BONEBRAKE, LMSW, CADC, SAP
3640 CANTERBURY CT
WATERLOO, IA50702-5705
 Phone: 319-252-4631
 Fax: 319-252-4631
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for AMY R BONEBRAKE · (Female)

NPI # 1316467061
Status Active
Credentials LMSW, CADC, SAP
Entity Individual
Enumeration date 06/23/2017
Last updated 07/13/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # 09007
  • IA License # 109128
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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