Robert Bordonaro, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110703 Issued in MA

Practice address

955 Main St Ste 105
Winchester, MA 01890

Phone

(781) 454-8878

NPI assigned

Feb 14, 2007

Last updated

Apr 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1992848626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 MAIN ST STE 105",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018904300",
            "telephone_number": "781-454-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 MAIN ST STE 105",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "01890",
            "telephone_number": "781-454-8878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "955 Main St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "MA",
            "postal_code": "01890",
            "country_code": "US",
            "telephone_number": "781-454-8878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Mass Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "MA",
            "postal_code": "024764736",
            "country_code": "US",
            "telephone_number": "781-454-8878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORDONARO",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Marie Biles, CRNA
• Eve Bishop
• Barbara H Bjornson, MD
• Emily Elizabeth Blake, MS, RD, LDN
• Saritha Bolla, MD
• Teresa Marie Bose, M.D.
• Gordana Bosnic, RD, LDN
• Christina Maria Bouboulis, FNP-BC
• Corey Bova, PA-C
• Jessica Dawn Bradford, M.D.

• Clinical Social Worker in Winchester, MA
• Providers in Winchester, 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 Apr 18, 2019; 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.