Mrs. Katherine I Bonilla, LMSW, LADC
Social Worker, Clinical in Willimantic, Connecticut
1740530336- Practice location
- 872 Main St, Willimantic, CT 06226-2342
- Phone
- 860-985-3494
- Fax
- —
- Last updated
- April 9, 2019
Katherine I Bonilla is a Social Worker, Clinical based in Willimantic, CT. Katherine I Bonilla practices in Willimantic, CT and has the professional credentials of LMSW, LADC. The NPI Number for Katherine I Bonilla is 1740530336 and holds a License No. 010124 (CT). The current practice location address for Katherine I Bonilla is 872 Main St, Willimantic, CT 06226-2342 and can be reached out via phone at 860-985-3494.
Provider Profile Details
- NPI Number
- 1740530336
- Provider Name
- Katherine I Bonilla
- Credential
- LMSW, LADC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 872 Main St, Willimantic, CT 06226-2342
- Phone Number
- 860-985-3494
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 12, 2012
- Last Update Date
- April 9, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 872 Main St
Willimantic, CT 06226-2342 - City
- Willimantic
- State
- Connecticut
- Zip
- 06226-2342
- Phone Number
- 860-985-3494
Provider Business Mailing Address Details
- Address
- 44 Ashford Lake Dr
Ashford, CT 06278-1201 - City
- Ashford
- State
- CT
- Zip
- 06278-1201
- Phone Number
- 860-646-3888
- Fax Number
- 860-645-4132
License Information
- License Number
- 010124
- License State
- CT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
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 Willimantic, CT
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- Janna Blackstone, LCSWSocial Worker, Clinical · NPI 1194684613
- Jessica BaineSocial Worker, Clinical · NPI 1164890232
- Kassandrah D Banks, LMSWSocial Worker, Clinical · NPI 1659149250
Frequently Asked Questions
What is the NPI number of Mrs. Katherine I Bonilla, LMSW, LADC?
The NPI number of Mrs. Katherine I Bonilla, LMSW, LADC is 1740530336. It was assigned on September 12, 2012 and is currently active in the NPPES registry.
What is the specialty of Mrs. Katherine I Bonilla, LMSW, LADC?
Mrs. Katherine I Bonilla, LMSW, LADC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 010124.
Where does Mrs. Katherine I Bonilla, LMSW, LADC practice?
The practice location is 872 Main St, Willimantic, CT 06226-2342. The office can be reached at 860-985-3494 (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 1740530336 directly on the NPPES registry website.