Individual provider · Type 1 NPI

Betsy I. Bonilla, LICSW

Clinical Social Worker · Roxbury, MA

NPI number 1437320637 Active

Practice location

1534 Tremont St
Roxbury, MA 02120-2929

Call (617) 320-2511 Map

Fax (617) 622-1086

Mailing address

108 Glen Rock Ave
Malden, MA 02148-1242

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X212427 (MA)

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 1437320637

Betsy I. Bonilla, LICSW's National Provider Identifier is 1437320637, issued on Mar 14, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roxbury, MA. The record was last updated on Oct 5, 2026.