Provider Demographics
NPI:1083681746
Name:VOKITS, BONNIE J (LMSW ACSW)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:J
Last Name:VOKITS
Suffix:
Gender:F
Credentials:LMSW ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1576 PECK ST
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49441-2547
Mailing Address - Country:US
Mailing Address - Phone:231-727-2901
Mailing Address - Fax:231-725-4172
Practice Address - Street 1:1576 PECK ST
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49441-2547
Practice Address - Country:US
Practice Address - Phone:231-727-2901
Practice Address - Fax:231-725-4172
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010630391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOP30220Medicare ID - Type Unspecified