Active NPIIndividual provider

Andrea Bonilla, LCSW

Social Worker, Clinical in Pomona, New York

NPI Number1649386756
Practice location
971 Route 45, Suite 116, Pomona, NY 10970-3500
Fax
845-354-8555
Last updated
July 8, 2007

Andrea Bonilla is a Social Worker, Clinical based in Pomona, NY. Andrea Bonilla practices in Pomona, NY and has the professional credentials of LCSW. The NPI Number for Andrea Bonilla is 1649386756 and holds a License No. 039978 (NY). The current practice location address for Andrea Bonilla is 971 Route 45, Suite 116, Pomona, NY 10970-3500 and can be reached out via phone at 845-354-9200 and via fax at 845-354-8555.

Provider Profile Details

NPI Number
1649386756
Provider Name
Andrea Bonilla
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
971 Route 45, Suite 116, Pomona, NY 10970-3500
Phone Number
845-354-9200
Fax Number
845-354-8555
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
-- Andrea Borovek, LCSW (Former Name)
Provider Enumeration Date
August 22, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
971 Route 45
Suite 116
Pomona, NY 10970-3500
City
Pomona
Zip
10970-3500
Phone Number
845-354-9200
Fax Number
845-354-8555
Pomona, NY 10970Get directions →

Provider Business Mailing Address Details

Address
1 Woodridge Dr
Garnerville, NY 10923-1914
City
Garnerville
State
NY
Zip
10923-1914
Phone Number
845-354-1497

License Information

License Number
039978
License State
NY
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 Andrea Bonilla, LCSW?

The NPI number of Andrea Bonilla, LCSW is 1649386756. It was assigned on August 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Andrea Bonilla, LCSW?

Andrea Bonilla, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 039978.

Where does Andrea Bonilla, LCSW practice?

The practice location is 971 Route 45, Suite 116, Pomona, NY 10970-3500. The office can be reached at 845-354-9200 (phone) or 845-354-8555 (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 1649386756 directly on the NPPES registry website.

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