Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. BONITA RAE WICKSTROM, LISW
ActiveMS. BONITA RAE WICKSTROM, LISW is a Social Worker healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1225075161 is currently active in the NPPES registry. Verify at CMS.
Social Worker · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1225075161
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2006 (20.019323634883 yrs)
- Last Updated
- Jul 8, 2007
- License
-
I-4390 (NM)
Practice Information
- Address
-
12836 LOMAS BLVD NESUITE BALBUQUERQUE, NM, 871126210Browse NM providers · Browse ZIP 87112
- Phone
- 5054537862
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| JOANNE GALE EEKHOFF | LISW | 1982696902 |
| MARY ANN SHINNICK | LISW | 1821083130 |
| DR. STEVEN ANDREW WASHBURN | PHD, LPCC | 1023096872 |
| KATHLEEN SCOTT | LISW | 1003875618 |
| FEDERICK STEARNS | LISW | 1366401994 |
| KENNETH W HODDER | LISW | 1912950999 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.