Individual provider · Type 1 NPI

Justin Bonasera

School Social Worker · Coon Rapids, MN

NPI number 1245140219 Active

Practice location

11600 Raven St NW
Coon Rapids, MN 55433-3011

Mailing address

2727 N Ferry St
Anoka, MN 55303-1650

Specialties and licenses

TaxonomyCodeLicense
School Social Worker Primary 1041S0200X34707 (MN)

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About NPI 1245140219

Justin Bonasera's National Provider Identifier is 1245140219, issued on Sep 10, 2026. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Coon Rapids, MN. The record was last updated on Sep 10, 2026.