Individual provider · Type 1 NPI
Theresa M. Bonanomi
Clinical Social Worker · New London, CT
Practice location
365 Montauk Ave
New London, CT 06320-4700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Clinical Social Worker | 1041C0700X | L10625 (OR) |
| Adult Companion | 372600000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 012927 (CT) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1003365222
Theresa M. Bonanomi's National Provider Identifier is 1003365222, issued on Sep 29, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New London, CT. The record was last updated on May 16, 2023.