Yvette Bonilla, LCSW
Individual provider Active NPI Clinical Social Worker · New Haven, CT
NPI 1295360469 · NPPES record last updated Oct 18, 2025
Key facts
- NPI
- 1295360469
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 58.015822 (CT)
- Practice address
- 374 Grand Ave
New Haven, CT 06513-3733 - Phone
- (203) 777-7411
- Fax
- (203) 752-5285
- NPI assigned
- Mar 9, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fair Haven Community Health Clinic Inc
Step Up Care PC LLC
Practice addresses (Care Compare)
100 James St
New Haven, CT 06513-4222
Phone (203) 777-7411
111 Westcott Rd
Danielson, CT 06239-2929
Phone (718) 298-4375
164 Grand Ave
New Haven, CT 06513-3938
Phone (203) 777-7411
293 Clinton Ave
New Haven, CT 06513-2814
Phone (203) 777-7411
339 Eastern St
BLDG B
New Haven, CT 06513-2463
Phone (203) 777-7411
35 Wheelbarrow LN
East Haven, CT 06513-2003
Phone (203) 777-7411
374 Grand Ave
New Haven, CT 06513-3733
Phone (203) 777-7411
374 Grand Ave
New Haven, CT 06513-3787
50 Grand Ave
New Haven, CT 06513-3949
Phone (203) 777-7411
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251028003269 | CT | Practitioner - Clinical Social Worker | 7315436573 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58.015822 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fair Haven Community Health Clinic Inc. | Current |
Accepting new patients | |
| Fair Haven Community Health Clinic Inc | Current | Accepting new patients | |
| Sondermind Provider Network LLC | Clinical | Current |
Accepting new patients |
| Fair Haven Community Health Clinic, Inc | Current |
Accepting new patients |
Locations
100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636
374 Grand Ave
New Haven, CT 06513
Phone (203) 752-5203
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 58.015822 | CT | Yes |
Addresses
Primary practice location
374 Grand Ave
New Haven, CT 06513-3733
Mailing address
374 Grand Ave
New Haven, CT 06513-3733
Phone (203) 777-7411
Other practice location 1
1000 Lafayette Blvd Ste 1100
Bridgeport, CT 06604-4710
Phone (646) 941-7645
Other providers in New Haven, CT
- Bondage Breakers Counseling, LLC
- Pramod Bonde
- Kathryn Bonese
- Brian Adam Bonilla
- Claudia Bonilla
- Andrew Bonner
- Shacelles Shemika Bonner
- Elaine K Bonoan
- Travis Daniel Bontrager
- Ya-Ching Carol Bonura
All providers in New Haven, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.