Individual provider · Type 1 NPI

Bonita Rae Wickstrom, LISW

Social Worker · Albuquerque, NM

NPI number 1225075161 Active

Practice location

12836 Lomas Blvd NE, Suite B
Albuquerque, NM 87112-6210

Mailing address

14507 Encantado Rd NE
Albuquerque, NM 87123-2249

Specialties and licenses

TaxonomyCodeLicense
Social Worker Primary 104100000XI-4390 (NM)

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

5 other providers at this address

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About NPI 1225075161

Bonita Rae Wickstrom, LISW's National Provider Identifier is 1225075161, issued on May 31, 2006. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 13, 2026.