Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. BONITA E FAZIO, LICSW
Active Sole ProprietorMS. BONITA E FAZIO, LICSW is a Clinical Social Worker healthcare provider located in ST JOHNSBURY, Vermont. NPI 1699826602 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · ST JOHNSBURY, VT
Registration Details
- NPI Number
- 1699826602
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 16, 2007 (19.538851804077 yrs)
- Last Updated
- Jun 6, 2008
- Licenses
-
089-0001104 (VT)1026261 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
297 SUMMER STKINGDOM RECOVERY CENTERST JOHNSBURY, VT, 058192283Browse VT providers · Browse ZIP 05819
- Phone
- 8027482524
- Fax
- 8027482524
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in ST JOHNSBURY, VT
| Name | Credential | NPI |
|---|---|---|
| DAVID J TRUSLOW | MSW | 1174571418 |
| MARILYN MCENERY | — | 1790713998 |
| MS. SARA J DEMETRY | LICSW | 1609880319 |
| MS. KATHRYN MARIE COTE | LICSW MSSW | 1699815118 |
| GERARD C COLPITTS | LICSW | 1326177270 |
| MR. DANIEL BASLOCK | MSW | 1013217546 |
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.