Active NPIIndividual provider

Amy Bonneau, LICSW

Social Worker, Clinical in Hanscom Afb, Massachusetts

NPI Number1568839991
Practice location
59 Grenier St, Bldg 1509, Hanscom Afb, MA 01730
Fax
339-202-0121
Last updated
February 5, 2026

Amy Bonneau is a Social Worker, Clinical based in Hanscom Afb, MA. Amy Bonneau practices in Hanscom Afb, MA and has the professional credentials of LICSW. The NPI Number for Amy Bonneau is 1568839991 and holds a License No. 219698 (MA). The current practice location address for Amy Bonneau is 59 Grenier St, Bldg 1509, Hanscom Afb, MA 01730 and can be reached out via phone at 339-202-6194 and via fax at 339-202-0121.

Provider Profile Details

NPI Number
1568839991
Provider Name
Amy Bonneau
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
59 Grenier St, Bldg 1509, Hanscom Afb, MA 01730
Phone Number
339-202-6194
Fax Number
339-202-0121
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 2, 2015
Last Update Date
February 5, 2026
Certification Date
February 5, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
59 Grenier St
Bldg 1509
Hanscom Afb, MA 01730
Zip
01730
Phone Number
339-202-6194
Fax Number
339-202-0121
Hanscom Afb, MA 01730Get directions →

Provider Business Mailing Address Details

Address
68 Central St Unit 1
Waltham, MA 02453-5465
City
Waltham
State
MA
Zip
02453-5465
Phone Number
802-355-4054

License Information

License Number (1)
219698
License State (1)
MA
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
119622
License State (2)
MA
Taxonomy (2)
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 Amy Bonneau, LICSW?

The NPI number of Amy Bonneau, LICSW is 1568839991. It was assigned on September 2, 2015 and is currently active in the NPPES registry.

What is the specialty of Amy Bonneau, LICSW?

Amy Bonneau, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 219698.

Where does Amy Bonneau, LICSW practice?

The practice location is 59 Grenier St, Bldg 1509, Hanscom Afb, MA 01730. The office can be reached at 339-202-6194 (phone) or 339-202-0121 (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 1568839991 directly on the NPPES registry website.

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