Provider Demographics
NPI:1609753425
Name:BOHNER, ANITA (LMSW)
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:BOHNER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 W ROSSER AVE
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-3755
Mailing Address - Country:US
Mailing Address - Phone:701-255-6909
Mailing Address - Fax:701-255-3922
Practice Address - Street 1:217 W ROSSER AVE
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-3755
Practice Address - Country:US
Practice Address - Phone:701-255-6909
Practice Address - Fax:701-255-3922
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND3935104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker