Individual provider · Type 1 NPI
Bonita Maria Bantom, LICSW
Clinical Social Worker · Washington, DC
Practice location
712 6th St NE
Washington, DC 20002-4324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LC50077952 (DC) |
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 1295986628
Bonita Maria Bantom, LICSW's National Provider Identifier is 1295986628, issued on Oct 3, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Washington, DC. The record was last updated on Sep 30, 2013.