Louise Cecilia Bonacci, MSW LCSW R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R072982 Issued in NY

Practice address

114 Genesee St
New Hartford, NY 13413-2329

Phone

(315) 733-0520

Fax

(315) 733-0518

NPI assigned

Jun 1, 2006

Last updated

Jun 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1346287216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 GENESEE ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132329",
            "telephone_number": "315-733-0520",
            "fax_number": "315-733-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 GENESEE ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132329",
            "telephone_number": "315-733-0520",
            "fax_number": "315-733-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONACCI",
        "first_name": "LOUISE",
        "middle_name": "CECILIA",
        "credential": "MSW LCSW R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R072982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas A. Blando, D.C.
• Sidney J Blatt
• Jonathan D Block, M.D.
• Blooming Pediatric & Family Nurse Practitioners PLLC
• Shannon Blume-Kesselring, NP
• Katie Marisa Bono, OD
• Mary L Borruso, LMT
• Mary-Jane Elizabeth Borst, NP
• Boscovs Department Store LLC (Boscov's Optical)
• Lisa Boyce, OTR

• Clinical Social Worker in New Hartford, NY
• Providers in New Hartford, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.