Bonita I Dabreu, LCSW
Individual provider Active NPI Clinical Social Worker · Chepachet, RI
NPI 1740877901 · NPPES record last updated Dec 22, 2020
Key facts
- NPI
- 1740877901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW02471 (RI)
- Practice address
- 27 Durfee Hill Rd
Chepachet, RI 02814-1849 - Phone
- (140) 157-3881
- NPI assigned
- Dec 22, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW02471 | RI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW02471 | RI | Yes |
Addresses
Primary practice location
27 Durfee Hill Rd
Chepachet, RI 02814-1849
Mailing address
27 Durfee Hill Rd
Chepachet, RI 02814-1849
Phone (140) 157-3881
Other providers in Chepachet, RI
- Chepachet Fire District
- Chepachet Pharmacy, Inc.
- Shannon Lynn Ciccone
- Cove Center, Inc
- Cove Center,Inc
- Emily Suzanne Dahlquist
- Gail Jean Dahlquist
- Emma Bickford Decourcy
- Cherie A Defusco
- Joseph Desrosiers II
All providers in Chepachet, RI · Clinical Social Worker in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.