Individual provider · Type 1 NPI

Susan Donohue Bonomo, LCSW-R

Clinical Social Worker · Syracuse, NY

NPI number 1124062245 Active

Practice location

742 James St, Outpatient Mental Health
Syracuse, NY 13203-2017

Call (315) 703-2700 Map

Fax (315) 703-2730

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR039645-1 (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 1124062245

Susan Donohue Bonomo, LCSW-R's National Provider Identifier is 1124062245, issued on Jun 16, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Syracuse, NY. The record was last updated on Aug 8, 2013.