Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bonita Jo Klopach, LCSW

Individual provider Clinical Social Worker · NPI 1003303231

Bonita Jo Klopach, LCSW is a Clinical Social Worker in Marietta, Georgia. Qualified in 2014, 12 years ago. Practices with Privia Medical Group of Georgia LLC, a 450-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
12
Licensed in
GA
In the registry since
2018
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4343 Shallowford Rd Ste C-1
Marietta, GA 30062-5023
Phone: (678) 740-3757
Fax: (770) 993-9800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4595 Towne Lake Pkwy Ste 250, Woodstock, GA 30189-5514 — (678) 740-3757

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW007150 (GA)

Record details

NPI number1003303231
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 13, 2018
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Privia Medical Group Of Georgia Llc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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