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

Individual provider Case Manager/Care Coordinator · NPI 1306591433

Bonnie Harris-Moore is a Clinical Social Worker in Holland, Michigan. Qualified in 2022, 4 years ago. Registered with an NPI since 2022.

Years since qualifying
4
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

12265 James St
Holland, MI 49424-8613
Phone: (161) 639-3568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1306591433
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 17, 2022
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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