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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BONITA MARIA BANTOM, LICSW

Active

BONITA MARIA BANTOM, LICSW is a Clinical Social Worker healthcare provider located in WASHINGTON, Washington D.C.. NPI 1295986628 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · WASHINGTON, DC

Registration Details

NPI Number
1295986628
Provider Type
Individual
Gender
Female
NPI Issued
Oct 3, 2008 (17.820961523892 yrs)
Last Updated
Sep 30, 2013
License
LC50077952 (DC)

Practice Information

Address
712 6TH ST NE
WASHINGTON, DC, 200024324
Browse DC providers · Browse ZIP 20002
Phone
2025469328
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in WASHINGTON, DC

Name Credential NPI
DONALD ZUCKERMAN MSW 1164420535
BABETTE WISE 1023017100
LISA JOAN REARDON LICSW 1598765257
HOPE GRANDE 1376535088
MS. MARYANN FOSTER LCSW-C 1083602460
MS. HATTIE ANNA PETERSON MSW, LICSW 1326039041
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.