Active NPIIndividual providerSole proprietor

Andrew J Bonina

Social Worker, Clinical in Southbridge, Massachusetts

NPI Number1760073720
Practice location
39 Elm St Ste 201, Southbridge, MA 01550-2644
Fax
—
Last updated
February 1, 2021

Andrew John Bonina is a Social Worker, Clinical based in Southbridge, MA. Andrew John Bonina practices in Southbridge, MA. The NPI Number for Andrew John Bonina is 1760073720 and holds a License No. 222730 (MA). The current practice location address for Andrew John Bonina is 39 Elm St Ste 201, Southbridge, MA 01550-2644 and can be reached out via phone at 508-765-2832.

Provider Profile Details

NPI Number
1760073720
Provider Name
Andrew John Bonina
Provider Entity Type
Individual
Gender
Male
Address
39 Elm St Ste 201, Southbridge, MA 01550-2644
Phone Number
508-765-2832
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 1, 2021
Last Update Date
February 1, 2021
Certification Date
February 1, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
39 Elm St Ste 201
Southbridge, MA 01550-2644
Zip
01550-2644
Phone Number
508-765-2832
Southbridge, MA 01550Get directions →

Provider Business Mailing Address Details

Address
89 Weatherstone Dr
Worcester, MA 01604-2673
City
Worcester
State
MA
Zip
01604-2673
Phone Number
508-360-9638

License Information

License Number
222730
License State
MA
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 Andrew J Bonina?

The NPI number of Andrew J Bonina is 1760073720. It was assigned on February 1, 2021 and is currently active in the NPPES registry.

What is the specialty of Andrew J Bonina?

Andrew J Bonina is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 222730.

Where does Andrew J Bonina practice?

The practice location is 39 Elm St Ste 201, Southbridge, MA 01550-2644. The office can be reached at 508-765-2832 (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 1760073720 directly on the NPPES registry website.

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