Individual provider · Type 1 NPI

Jose Richard Bonilla, LCSW

Clinical Social Worker · Hicksville, NY

NPI number 1073758918 Active

Practice location

120 Bethpage Rd, Suite 201
Hicksville, NY 11801-1515

Call (516) 305-9366 Map

Mailing address

97 Cypress Ln E
Westbury, NY 11590-5709

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X069580-1 (NY)

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 1073758918

Jose Richard Bonilla, LCSW's National Provider Identifier is 1073758918, issued on Dec 6, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hicksville, NY. The record was last updated on Dec 6, 2008.