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SARA LEE BONACCI LISW-S NPI 1225272628


NPI Information

NPI: 1225272628
Provider Name: SARA LEE BONACCI, LISW-S
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
7845 ANTONIO LN
BLACKLICK, OH
ZIP 43004
Phone: (614) 582-0558
Get Directions

Sara Lee Bonacci, LISW-S is a clinical social worker in Blacklick, OH. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Sara Lee Bonacci, LISW-S NPI is 1225272628. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7845 ANTONIO LN
BLACKLICK, OH
ZIP 43004-005
Phone: (614) 582-0558
Fax: (614) 863-2331

The NPI 1225272628 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/29/2009 and was last updated on 4/29/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorI 0600148 SOHIONo
2101YM0800XCounselorMental HealthI 0600148 SOHIONo
3104100000XSocial WorkerI 0600148 SOHIONo
41041C0700XSocial WorkerClinicalI 0600148 - SOHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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