Individual provider · Type 1 NPI

Sergio Bonilla

Clinical Social Worker · Fpo, AP

NPI number 1043754682 Active

Practice location

U.s. Nmrtc Yokosuka
Fpo, AP 96350

Mailing address

2345 Fen View Cir
Island Lake, IL 60042-8822

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X149026857 (IL)
Clinical Social Worker Primary 1041C0700XSW13997 (FL)

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 1043754682

Sergio Bonilla's National Provider Identifier is 1043754682, issued on Dec 16, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fpo, AP. The record was last updated on Dec 6, 2024.