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

Elyssa Bonner

Individual provider Case Manager/Care Coordinator · NPI 1629610092

Elyssa Bonner is a Case Manager/Care Coordinator in Fairfax, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

8270 Willow Oaks Corporate Dr
Fairfax, VA 22031-4530
Phone: (571) 423-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence PPS-0607528 (VA)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence PPS-0607528 (VA)

Record details

NPI number1629610092
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 17, 2019
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4530

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