Active NPIIndividual provider

Miss Laylin E Chong Bonilla, LICSW

Social Worker, Clinical in East Boston, Massachusetts

NPI Number1790108496
Practice location
10 Gove St, East Boston, MA 02128-1920
Fax
617-568-4756
Last updated
July 27, 2020

Laylin Elizabeth Chong Bonilla is a Social Worker, Clinical based in East Boston, MA. Laylin Elizabeth Chong Bonilla practices in East Boston, MA and has the professional credentials of LICSW. The NPI Number for Laylin Elizabeth Chong Bonilla is 1790108496 and holds a License No. 122498 (MA). The current practice location address for Laylin Elizabeth Chong Bonilla is 10 Gove St, East Boston, MA 02128-1920 and can be reached out via phone at 617-568-4872 and via fax at 617-568-4756.

Provider Profile Details

NPI Number
1790108496
Provider Name
Laylin Elizabeth Chong Bonilla
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
10 Gove St, East Boston, MA 02128-1920
Phone Number
617-568-4872
Fax Number
617-568-4756
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
January 31, 2014
Last Update Date
July 27, 2020
Certification Date
July 27, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Gove St
East Boston, MA 02128-1920
Zip
02128-1920
Phone Number
617-568-4872
Fax Number
617-568-4756
East Boston, MA 02128Get directions →

Provider Business Mailing Address Details

Address
10 Gove St
East Boston, MA 02128-1920
City
East Boston
State
MA
Zip
02128-1920
Phone Number
617-568-4872
Fax Number
617-568-4756

License Information

License Number
122498
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 Miss Laylin E Chong Bonilla, LICSW?

The NPI number of Miss Laylin E Chong Bonilla, LICSW is 1790108496. It was assigned on January 31, 2014 and is currently active in the NPPES registry.

What is the specialty of Miss Laylin E Chong Bonilla, LICSW?

Miss Laylin E Chong Bonilla, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 122498.

Where does Miss Laylin E Chong Bonilla, LICSW practice?

The practice location is 10 Gove St, East Boston, MA 02128-1920. The office can be reached at 617-568-4872 (phone) or 617-568-4756 (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 1790108496 directly on the NPPES registry website.

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