MR. JOSE RICHARD BONILLA (NPI# 1073758918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073758918 |
| Entity Type | Individual |
| Full Name | MR. JOSE RICHARD BONILLA |
| Credential | LCSW |
| Practice Address |
120 Bethpage Rd Suite 201 Hicksville NY 11801-1515 |
| Mailing Address |
97 Cypress Ln E Westbury NY 11590-5709 |
| Practice Telephone | 5163059366 |
| Mailing Telephone | 5163059366 |
| Enumeration Date | 2008-12-06 |
| Last Update Date | 2008-12-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
069580-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932649993 | Jose L Bonilla | Nurse Anesthetist, Certified Registered | 7050 Gall Blvd., Zephyrhills, FL 33541 | 2017-02-24 |
| 1023447059 | Jose Bonilla | Counselor | 6265 Sepulveda, 9, Van Nuys, CA 91411 | 2013-11-12 |
| 1972131464 | Jose A. Bonilla | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave., Mailstop #1137, Toledo, OH 43614 | 2020-03-30 |
| 1699293175 | Jose Amilcar Bonilla | Behavior Technician | 668 3 Mile Rd Nw, Grand Rapids, MI 49544-8219 | 2017-09-05 |
| 1689859779 | Jose Luis Bonilla | Pharmacist | 1070 Genesee St, Buffalo, NY 14211-3007 | 2008-01-08 |
| 1457375735 | Jose Vicente Bonilla | Specialist | 343 W Houston St, Suite 105, San Antonio, TX 78205-2107 | 2006-07-27 |
| 1255331781 | Jose Arturo Bonilla | Specialist | 16723 Huebner Rd, San Antonio, TX 78248-2342 | 2005-07-27 |
| Street Address |
120 BETHPAGE RD SUITE 201 |
| City | HICKSVILLE |
| State | NY |
| Zip Code | 11801-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453571 | Harshit M Patel | Allergy & Immunology | 120 Bethpage Rd, Suite 310, Hicksville, NY 11801-1515 | 2005-08-10 |
| 1245728658 | Moms Ob-gyn PC | Obstetrics & Gynecology | 120 Bethpage Rd, Hicksville, NY 11801-1515 | 2018-05-01 |
| 1265976120 | Katherine Alexis Athanasiou | Physician Assistant | 120 Bethpage Rd, Hicksville, NY 11801-1515 | 2016-12-12 |
| 1982010286 | Stephanie K. Becker M.d. PC | Specialist | 120 Bethpage Rd, Suite 102, Hicksville, NY 11801-1515 | 2014-07-08 |
| 1538573043 | Michelle Lee Regan | Physician Assistant | 120 Bethpage Rd, Hicksville, NY 11801-1515 | 2014-06-12 |
| 1114266962 | Tri- Borough Certified Health Systems of New York. LLC | Home Health | 120 Bethpage Rd, Hicksville, NY 11801-1515 | 2013-02-13 |
| 1801167945 | Rona Marc | Physician Assistant | 120 Bethpage Rd, Hicksville, NY 11801-1515 | 2012-01-20 |
| 1528342425 | Sun Endoscopy Pllc | Clinic/Center | 120 Bethpage Rd, Suite 204b, Hicksville, NY 11801-1515 | 2011-10-11 |
| 1962781716 | Ambka Sabiki | Physician Assistant | 120 Bethpage Rd, Suite 310, Hicksville, NY 11801-1515 | 2011-08-11 |
| 1639461437 | Florante Melchor Md Facp Pllc | Internal Medicine | 120 Bethpage Rd, Suite 305, Hicksville, NY 11801-1515 | 2011-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588296222 | Princy John | Registered Nurse | 19 Utica Ave, Hicksville, NY 11801 | 2020-02-11 |
| 1558920314 | Alvin Varkey | Registered Nurse | 1 Hastings Lane, Hicksville, NY 11801 | 2019-06-06 |
| 1033680152 | Chaolin Fu | Physical Therapist | 4 Savoy Place, Hicksville, NY 11801 | 2018-12-16 |
| 1902373954 | Linda Alagna | Massage Therapist | 21 Michigan Dr, Hicksville, NY 11801 | 2018-10-29 |
| 1336621523 | Christina Doyle | Early Intervention Provider Agency | 22 April Lane, Hicksville, NY 11801 | 2018-09-04 |
| 1376023325 | Jessica Lyons | Specialist | 128 5th Ave, Hicksville, NY 11801 | 2018-08-20 |
| 1881180404 | Laura Veronica Cevallos | Early Intervention Provider Agency | 67 Lee Ave, Hicksville, NY 11801 | 2018-07-06 |
| 1942719810 | David Collins | Behavioral Analyst | 431 Division Avenue, Hicksville, NY 11801 | 2017-09-23 |
| 1285159756 | James Daconti | Social Worker | 100 Duffy Ave Ste 510, Hicksville, NY 11801 | 2017-08-07 |
| 1306376918 | Emily Miracolo | Specialist | 9 Waters Ave, Hicksville, NY 11801 | 2017-06-15 |
| Find all providers in zip 11801 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598249658 | Maryann J Pottanat | Social Worker | 85 Linden Blvd, Hicksville, NY 11801-5938 | 2018-09-24 |
| 1841795705 | Jeanine Marie Aufiero | Social Worker | 108 Woodbury Rd, Hicksville, NY 11801-3006 | 2018-03-23 |
| 1679006464 | Paul Bultman | Social Worker | 3 Dikeman Ct, Hicksville, NY 11801-3711 | 2017-04-07 |
| 1578017539 | Bernadette Lachoff | Social Worker | 11 Chain Ln, Hicksville, NY 11801-6405 | 2016-08-08 |
| 1174984108 | Jennifer Paul-magnes | Social Worker | 57 Willet Ave, Hicksville, NY 11801-1634 | 2016-03-18 |
| 1144633249 | Hillary B Lagnado | Social Worker | 28 Old Country Road, Hicksville, NY 11801 | 2014-06-05 |
| 1588907919 | James Duncan Stangarone | Social Worker | 4 N Fordham Rd, Hicksville, NY 11801-6052 | 2013-04-04 |
| 1417181918 | Fiana Koshevatsky | Social Worker | 950 S.oyster Bay Road, Hicksville, NY 11803 | 2009-05-12 |
| 1063697621 | Lucille Mildred Rosen | Social Worker | 40 Tip Top Lane, Hicksville, NY 11801 | 2008-01-02 |
| 1710182704 | Lynn A Goldstein | Social Worker | 111 W Nicholai St, Hicksville, NY 11801-3825 | 2007-06-19 |
| Find all providers in HICKSVILLE | ||||
| City | HICKSVILLE |
| Zip Code | 11801 |
Please comment or provide details below to improve the information on MR. JOSE RICHARD BONILLA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.