Individual provider · Type 1 NPI

Rodolfo Steven Bonilla, CSW

Clinical Social Worker · Park City, UT

NPI number 1639797384 Active

Practice location

750 Round Valley Dr
Park City, UT 84060-7548

Call (435) 655-0926 Map

Mailing address

2252 Samuel Colt Ct
Park City, UT 84060-7423

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X11275783-3502 (UT)

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 1639797384

Rodolfo Steven Bonilla, CSW's National Provider Identifier is 1639797384, issued on Jul 9, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Park City, UT. The record was last updated on Jul 9, 2020.