Individual provider · Type 1 NPI

Kathleen Bonnenberg

Clinical Social Worker · Pitman, NJ

NPI number 1417270976 Active

Practice location

199 Woodbury Road
Pitman, NJ 08071-0818

Mailing address

PO Box 818
Malaga, NJ 08328-0818

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC05211900 (NJ)

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 1417270976

Kathleen Bonnenberg's National Provider Identifier is 1417270976, issued on Mar 11, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pitman, NJ. The record was last updated on Mar 11, 2010.