Active NPIIndividual providerSole proprietor

Mrs. Jennifer Bonneau, LICSW

Social Worker, Clinical in Newport, Rhode Island

NPI Number1083088785
Practice location
398 Bellevue Ave, Newport, RI 02840-6955
Fax
—
Last updated
July 2, 2026

Jennifer Bonneau is a Social Worker, Clinical based in Newport, RI. Jennifer Bonneau practices in Newport, RI and has the professional credentials of LICSW. The NPI Number for Jennifer Bonneau is 1083088785 and holds a License No. ISW02573 (RI). The current practice location address for Jennifer Bonneau is 398 Bellevue Ave, Newport, RI 02840-6955 and can be reached out via phone at 718-506-1115.

Provider Profile Details

NPI Number
1083088785
Provider Name
Jennifer Bonneau
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
398 Bellevue Ave, Newport, RI 02840-6955
Phone Number
718-506-1115
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 18, 2015
Last Update Date
July 2, 2026
Certification Date
July 2, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
398 Bellevue Ave
Newport, RI 02840-6955
Zip
02840-6955
Phone Number
718-506-1115
Newport, RI 02840Get directions →

Provider Business Mailing Address Details

Address
25 W Independence Way Ste G
Kingston, RI 02881-1127
City
Kingston
State
RI
Zip
02881-1127
Phone Number
401-789-4614
Fax Number
401-789-1957

License Information

License Number
ISW02573
License State
RI
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Jennifer Bonneau, LICSW?

The NPI number of Mrs. Jennifer Bonneau, LICSW is 1083088785. It was assigned on November 18, 2015 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jennifer Bonneau, LICSW?

Mrs. Jennifer Bonneau, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number ISW02573.

Where does Mrs. Jennifer Bonneau, LICSW practice?

The practice location is 398 Bellevue Ave, Newport, RI 02840-6955. The office can be reached at 718-506-1115 (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 1083088785 directly on the NPPES registry website.

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