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

Miss. Leah Louise Bonine

Individual provider Clinical Social Worker · NPI 1407410715

Miss. Leah Louise Bonine is a Clinical Social Worker in Saint Paul, Minnesota. Qualified in 2019, 7 years ago. Practices with Lyn-Lake Psychotherapy and Wellness Ltd, a 72-clinician group and offers telehealth.

Years since qualifying
7
In the registry since
2019
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Practice location Address checks out

1000 University Ave W Ste 20
Saint Paul, MN 55104-4747
Phone: (612) 373-9162
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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

Record details

NPI number1407410715
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 23, 2019
Last updated in NPPESApril 23, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lyn-Lake Psychotherapy And Wellness Ltd — 72 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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