Ms. Bonita E Fazio, LICSW
Social Worker, Clinical in St Johnsbury, Vermont
1699826602- Practice location
- 297 Summer St, Kingdom Recovery Center, St Johnsbury, VT 05819-2283
- Phone
- 802-748-2524
- Fax
- 802-748-2524
- Last updated
- June 6, 2008
Bonita E Fazio is a Social Worker, Clinical based in St Johnsbury, VT. Bonita E Fazio practices in St Johnsbury, VT and has the professional credentials of LICSW. The NPI Number for Bonita E Fazio is 1699826602 and holds a License No. 089-0001104 (VT). The current practice location address for Bonita E Fazio is 297 Summer St, Kingdom Recovery Center, St Johnsbury, VT 05819-2283 and can be reached out via phone at 802-748-2524 and via fax at 802-748-2524.
Provider Profile Details
- NPI Number
- 1699826602
- Provider Name
- Bonita E Fazio
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 297 Summer St, Kingdom Recovery Center, St Johnsbury, VT 05819-2283
- Phone Number
- 802-748-2524
- Fax Number
- 802-748-2524
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 16, 2007
- Last Update Date
- June 6, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 297 Summer St
Kingdom Recovery Center
St Johnsbury, VT 05819-2283 - City
- St Johnsbury
- State
- Vermont
- Zip
- 05819-2283
- Phone Number
- 802-748-2524
- Fax Number
- 802-748-2524
Provider Business Mailing Address Details
- Address
- Po Box 152
St Johnsbury, VT 05819-0152 - City
- St Johnsbury
- State
- VT
- Zip
- 05819-0152
- Phone Number
- 802-748-2524
- Fax Number
- 802-748-2524
License Information
- License Number (1)
- 089-0001104
- License State (1)
- VT
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X · Primary
- License Number (2)
- 1026261
- License State (2)
- MA
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
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 St Johnsbury, VT
View all Social Worker, Clinical providers in St Johnsbury →- Amanda Cushing, MSW, LICSWSocial Worker, Clinical · NPI 1750683553
- Christina Keene, MSWSocial Worker, Clinical · NPI 1912873852
- Gerard C Colpitts, LICSWSocial Worker, Clinical · NPI 1326177270
- Idolyn V. Carnahan, Licsw, PLLCSocial Worker, Clinical · NPI 1700607397
- Jin Li Chan, LICSWSocial Worker, Clinical · NPI 1023551710
- Katherine A Harris, LICSWSocial Worker, Clinical · NPI 1003275397
Frequently Asked Questions
What is the NPI number of Ms. Bonita E Fazio, LICSW?
The NPI number of Ms. Bonita E Fazio, LICSW is 1699826602. It was assigned on January 16, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Bonita E Fazio, LICSW?
Ms. Bonita E Fazio, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 089-0001104.
Where does Ms. Bonita E Fazio, LICSW practice?
The practice location is 297 Summer St, Kingdom Recovery Center, St Johnsbury, VT 05819-2283. The office can be reached at 802-748-2524 (phone) or 802-748-2524 (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 1699826602 directly on the NPPES registry website.