Theresa M Bonanomi
Social Worker, Clinical in New London, Connecticut
1003365222- Practice location
- 365 Montauk Ave, New London, CT 06320-4700
- Phone
- 860-444-5141
- Fax
- —
- Last updated
- May 16, 2023
Theresa M. Bonanomi is a Social Worker, Clinical based in New London, CT. Theresa M. Bonanomi practices in New London, CT. The NPI Number for Theresa M. Bonanomi is 1003365222 and holds a License No. L10625 (OR). The current practice location address for Theresa M. Bonanomi is 365 Montauk Ave, New London, CT 06320-4700 and can be reached out via phone at 860-444-5141.
Provider Profile Details
- NPI Number
- 1003365222
- Provider Name
- Theresa M. Bonanomi
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 365 Montauk Ave, New London, CT 06320-4700
- Phone Number
- 860-444-5141
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 29, 2016
- Last Update Date
- May 16, 2023
- Certification Date
- May 16, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 365 Montauk Ave
New London, CT 06320-4700 - City
- New London
- State
- Connecticut
- Zip
- 06320-4700
- Phone Number
- 860-444-5141
Provider Business Mailing Address Details
- Address
- 365 Montauk Ave
New London, CT 06320-4769 - City
- New London
- State
- CT
- Zip
- 06320-4769
- Phone Number
- 860-444-5141
License Information
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- License Number (2)
- L10625
- License State (2)
- OR
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (3)
- Adult Companion · 372600000X
- License Number (4)
- 012927
- License State (4)
- CT
- Taxonomy (4)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near New London, CT
View all Social Worker, Clinical providers in New London →- Angela Aguilar, LMSWSocial Worker, Clinical · NPI 1811656507
- Antonio Okosky LCSW LLCSocial Worker, Clinical · NPI 1689399222
- Beverly J Carr, LCSWSocial Worker, Clinical · NPI 1952529513
- Calvin T Berg, LCSWSocial Worker, Clinical · NPI 1295305944
- Catherine Bates, MSWSocial Worker, Clinical · NPI 1700292562
- Chrystal A Canova, LCSWSocial Worker, Clinical · NPI 1063995124
Frequently Asked Questions
What is the NPI number of Theresa M Bonanomi?
The NPI number of Theresa M Bonanomi is 1003365222. It was assigned on September 29, 2016 and is currently active in the NPPES registry.
What is the specialty of Theresa M Bonanomi?
Theresa M Bonanomi is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in OR under license number L10625.
Where does Theresa M Bonanomi practice?
The practice location is 365 Montauk Ave, New London, CT 06320-4700. The office can be reached at 860-444-5141 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003365222 directly on the NPPES registry website.