MARK BONAVENTURA JR. (NPI# 1326423500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326423500 |
| Entity Type | Individual |
| Full Name | MARK BONAVENTURA JR. |
| Credential | LCSW |
| Practice Address |
64 Robbins St Behavioral Health- 2nd Floor Waterbury CT 06708-2613 |
| Practice Telephone | 2035736103 |
| Mailing Telephone | 2035736103 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
9011 | CT | Behavioral Health & Social Service Providers |
| Street Address |
64 ROBBINS ST BEHAVIORAL HEALTH- 2ND FLOOR |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598755753 | Robert E Murray IIi | Emergency Medicine | 64 Robbins St, Waterbury, CT 06708-2613 | 2005-10-27 |
| 1306456116 | Christine Zarrella Cipriani | Registered Nurse | 64 Robbins St, Waterbury, CT 06708-2600 | 2020-08-06 |
| 1386261949 | Dorothy Sliwonik | Nurse Anesthetist, Certified Registered | 64 Robbins St, Waterbury, CT 06708-2613 | 2020-06-30 |
| 1154951341 | Christina Devi Drelichowski | Emergency Medicine | 64 Robbins St, Waterbury, CT 06708-2600 | 2020-01-16 |
| 1356818421 | Olanike Oyeyemi Idowu | Nurse Practitioner | 64 Robbins St, Waterbury, CT 06708-2613 | 2018-10-26 |
| 1881172500 | Elizabeth Ann Lawton | Nurse Practitioner | 64 Robbins St, Waterbury, CT 06708-2613 | 2018-08-03 |
| 1578041430 | Kerry Petrello | Registered Nurse | 64 Robbins St, Waterbury, CT 06708 | 2018-08-02 |
| 1245721091 | Eric M Mukherjee | Student in an Organized Health Care Education/Training Program | 64 Robbins St, Waterbury, CT 06708-2613 | 2018-05-27 |
| 1225528870 | Stephanie Lauren Gunpat | Nurse Practitioner | 64 Robbins St, Waterbury, CT 06708-2613 | 2018-05-18 |
| 1265921399 | Andrea Lynne Grammatico | Physician Assistant | 64 Robbins St, Waterbury, CT 06708-2613 | 2018-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| 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 |
|---|---|---|---|---|
| 1639786072 | Cassandra Lynn Manger | Social Worker | 255 Bank St, Waterbury, CT 06702-2219 | 2020-09-29 |
| 1033720198 | Jacqueline A Roscoe | Social Worker | 115 Kara Dr, Waterbury, CT 06704-1573 | 2020-08-12 |
| 1477195386 | Mayte Stephanie Robalino | Social Worker | 96 Dikeman St, Waterbury, CT 06704-3905 | 2019-10-11 |
| 1144874819 | Chantell Paris | Social Worker | 98 Dikeman St, Waterbury, CT 06704-3905 | 2019-07-30 |
| 1720563976 | Aubry Fappiano | Social Worker | 800 Country Club Rd, Waterbury, CT 06708-3240 | 2018-10-03 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1093252090 | Miranda Jones | Social Worker | 135 Roseland Ave, Waterbury, CT 06710-1411 | 2017-01-27 |
| 1447792833 | Carla L. Guglielmo | Social Worker | 422 Highland Ave, Waterbury, CT 06708-3443 | 2016-11-16 |
| 1649662313 | Lori Arens | Social Worker | 141 E Main St Fl 4, Waterbury, CT 06702 | 2015-03-04 |
| 1437554573 | Megan O'connor | Social Worker | 203 Eastside Blvd, Waterbury, CT 06706-2847 | 2014-10-31 |
| Find all providers in WATERBURY | ||||
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| 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.