CMS-1500 Box 24J / 33a • NPI
1215087572
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
1041C0700X (CMS 80)
Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical
Box 32 Service Location & ZIP+4
242 SHAKE RAG RD, CLINTON, AR, 72031-6629
✓ 9-Digit EDI 837 ZIP+4 (72031-6629)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1215087572 (SANDRA HOPE BONDELIER, LISW-S and LCSW) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1215087572 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SANDRA HOPE BONDELIER, LISW-S and LCSW |
| Plain-English Specialty | Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical NUCC Code: 1041C0700X (Social Worker, Clinical) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 242 SHAKE RAG RD, CLINTON, AR, 72031-6629 |
| Practice Telephone / Fax | Tel: (419) 261-6818 |
| Administrative Mailing Address | 261 LAKEVIEW DR, FAIRFIELD BAY, AR, 72088-2708 |
| Enumeration & Last Sync | Enumerated: 2007-01-11 | CMS Record Updated: 2015-10-26 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (1041C0700X)
What Does Taxonomy Code 1041C0700X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1041C0700X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SANDRA HOPE BONDELIER, LISW-S and LCSW)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
1041C0700X — Social Worker, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical | State: OH | License: I4083 | Primary: Secondary |
1041C0700X — Social Worker, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical | State: AR | License: 7246-C | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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