Individual provider · Type 1 NPI

Bonita E. Fazio, LICSW

Clinical Social Worker · St. Johnsbury, VT

NPI number 1699826602 Active

Practice location

297 Summer St, Kingdom Recovery Center
St. Johnsbury, VT 05819-2283

Call (802) 748-2524 Map

Fax (802) 748-2524

Mailing address

PO Box 152
St. Johnsbury, VT 05819-0152

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X089-0001104 (VT)
Clinical Social Worker 1041C0700X1026261 (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 1699826602

Bonita E. Fazio, LICSW's National Provider Identifier is 1699826602, issued on Jan 16, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Johnsbury, VT. The record was last updated on Jun 6, 2008.