Active NPIIndividual provider

Bonnie L Balsamo, LICSW

Social Worker, Clinical in Colebrook, New Hampshire

NPI Number1164776431
Practice location
141 Corliss Ln, Colebrook, NH 03576-3206
Fax
037-885-2856
Last updated
February 15, 2024

Bonnie Lynn Balsamo is a Social Worker, Clinical based in Colebrook, NH. Bonnie Lynn Balsamo practices in Colebrook, NH and has the professional credentials of LICSW. The NPI Number for Bonnie Lynn Balsamo is 1164776431 and holds a License No. 089.0127277 (VT). The current practice location address for Bonnie Lynn Balsamo is 141 Corliss Ln, Colebrook, NH 03576-3206 and can be reached out via phone at 603-788-5075 and via fax at 037-885-2856.

Provider Profile Details

NPI Number
1164776431
Provider Name
Bonnie Lynn Balsamo
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
141 Corliss Ln, Colebrook, NH 03576-3206
Phone Number
603-788-5075
Fax Number
037-885-2856
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
November 7, 2012
Last Update Date
February 15, 2024
Certification Date
February 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
141 Corliss Ln
Colebrook, NH 03576-3206
Zip
03576-3206
Phone Number
603-788-5075
Fax Number
037-885-2856
Colebrook, NH 03576Get directions →

Provider Business Mailing Address Details

Address
173 Middle St
Lancaster, NH 03584-3508
City
Lancaster
State
NH
Zip
03584-3508
Phone Number
603-788-5029
Fax Number
603-788-5607

License Information

License Number (1)
089.0127277
License State (1)
VT
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
8970
License State (2)
WI
Taxonomy (2)
Social Worker, Clinical · 1041C0700X
License Number (3)
118984
License State (3)
MA
Taxonomy (3)
Social Worker, Clinical · 1041C0700X
License Number (4)
2009
License State (4)
NH
Taxonomy (4)
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 Bonnie L Balsamo, LICSW?

The NPI number of Bonnie L Balsamo, LICSW is 1164776431. It was assigned on November 7, 2012 and is currently active in the NPPES registry.

What is the specialty of Bonnie L Balsamo, LICSW?

Bonnie L Balsamo, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 089.0127277.

Where does Bonnie L Balsamo, LICSW practice?

The practice location is 141 Corliss Ln, Colebrook, NH 03576-3206. The office can be reached at 603-788-5075 (phone) or 037-885-2856 (fax).

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 1164776431 directly on the NPPES registry website.

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