Individual provider · Type 1 NPI
Katherine I. Bonilla, LMSW, LADC
Clinical Social Worker · Willimantic, CT
Practice location
872 Main St
Willimantic, CT 06226-2342
Mailing address
44 Ashford Lake Dr
Ashford, CT 06278-1201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 010124 (CT) |
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 1740530336
Katherine I. Bonilla, LMSW, LADC's National Provider Identifier is 1740530336, issued on Sep 12, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Willimantic, CT. The record was last updated on Apr 9, 2019.