Alexis Bonilla

Individual provider Active NPI Clinical Social Worker · Madison, WI

NPI 1154041028 · NPPES record last updated Feb 23, 2024

Key facts

NPI
1154041028
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
313 Price PL Ste 212
Madison, WI 53705-3262
Phone
(608) 960-3534
NPI assigned
Aug 31, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Synergos Counseling Inc Social Worker Past
since Oct 6, 2024
Accepting new patients
New Beginnings Counseling Center, LLC Past
since Jul 1, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

313 Price PL Ste 212
Madison, WI 53705-3262

Mailing address

4718 Regent St Apt 95B
Madison, WI 53705-4859
Phone (715) 281-0633

Other identifiers

IdentifierTypeStateIssuer
134316OtherWILICENSE

Other names

  • Alexis Seitz Former name

Other providers in Madison, WI

All providers in Madison, WI · Clinical Social Worker in Wisconsin

Sources for this page

Verify at the official NPI Registry.