Active NPI
Bonnie Joyce Hallisey, LICSW
- Clinical Social Worker
- Dorchester, MA
National Provider Identifier
1851450878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 103203
- Practice address
- 1500 Dorchester Ave
Dorchester, MA 02122-1327 - Phone
- (617) 825-5000
- Fax
- (617) 288-5991
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 103203 | MA | |
| Clinical Social Worker | 1041C0700X | 103203 | MA | Primary |
Addresses
Primary practice location
1500 Dorchester Ave
Dorchester, MA 02122-1327
Mailing address
1500 Dorchester Ave
Dorchester, MA 02122-1327
Phone (617) 825-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1303511 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103203 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1851450878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 DORCHESTER AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021221327",
"telephone_number": "617-825-5000",
"fax_number": "617-288-5991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 DORCHESTER AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021221327",
"telephone_number": "617-825-5000",
"fax_number": "617-288-5991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLISEY",
"first_name": "BONNIE",
"middle_name": "JOYCE",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "103203",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "103203",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1303511",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.