Robert Bordonaro, LICSW
Individual provider Active NPI Clinical Social Worker · Winchester, MA
NPI 1992848626 · NPPES record last updated Apr 18, 2019
Key facts
- NPI
- 1992848626
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 110703 (MA)
- Practice address
- 955 Main St Ste 105
Winchester, MA 01890 - Phone
- (781) 454-8878
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 110703 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 110703 | MA | Yes |
Addresses
Primary practice location
955 Main St Ste 105
Winchester, MA 01890
Mailing address
955 Main St Ste 105
Winchester, MA 01890-4300
Phone (781) 454-8878
Other practice location 1
955 Main St Ste 105
Winchester, MA 01890
Phone (781) 454-8878
Other practice location 2
800 Mass Ave Ste 2
Arlington, MA 02476-4736
Phone (781) 454-8878
Other providers in Winchester, MA
- Linda Marie Biles
- Eve Bishop
- Barbara H Bjornson
- Emily Elizabeth Blake
- Saritha Bolla
- Teresa Marie Bose
- Gordana Bosnic
- Christina Maria Bouboulis
- Corey Bova
- Jessica Dawn Bradford
All providers in Winchester, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2019. 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.