Laylin Elizabeth Chong Bonilla, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

122498 Issued in MA

Practice address

10 Gove St
East Boston, MA 02128-1920

Phone

(617) 568-4872

Fax

(617) 568-4756

NPI assigned

Jan 31, 2014

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

Interoperability endpoints

• Direct secure messaging: lchongbonilla102019@direct.challiance.masshiway.net

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1790108496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GOVE ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281920",
            "telephone_number": "617-568-4872",
            "fax_number": "617-568-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GOVE ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281920",
            "telephone_number": "617-568-4872",
            "fax_number": "617-568-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG BONILLA",
        "first_name": "LAYLIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-31",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim-Ha Chau, M.S.W
• Dorothy Y Chen, MD, MPH
• Kacey Chen
• Mothusi A Chilume, MD
• Jenny W Chiu
• Shikha Chopra
• Margareth Y Chua, M.D.
• Karen Sweeney Chun, PA-C, MPH
• Loretta A Ciccia
• Nicole Marie Ciolfi, CNP

• Clinical Social Worker in East Boston, MA
• Providers in East Boston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.