Bonni Raab is a Clinical in Pomona, New York. Bonni Raab practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bonni Raab is 1275535023. The last update date is 2007-07-08.
Bonni Raab's current location address is 978 Route 45, Pomona, New York. You can contact this provider via phone number 8453649422 and fax number 8453649422. The mailing address for Bonni Raab is 978 Route 45, Pomona, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonni Raab |
|---|---|
| Address | 978 Route 45, Pomona, New York |
| Phone Number | 8453649422 |
| Fax Number | 8453649422 |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1275535023 |
|---|---|
| Provider Enumeration Date | 2005-08-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 978 Route 45 |
|---|---|
| City | Pomona |
| State | New York (NY) |
| Post Code | 109703565 |
| Phone Number | 8453649422 |
| Fax Number | 8453649422 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 014543-R |
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Definition: 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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 205095 | NY | UNITED BEHAVIORAL HEALTH | |
| DR8999 | NY | OXFORD | |
| 7492802 | NY | GHI & VALUE OPTIONS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Bonni Raab?
The Bonni Raab has been issued the NPI (National Provider Identifier) 1275535023 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Bonni Raab is geographically located?
The Bonni Raab is physically situated at the following location: 978 Route 45, Pomona, NY, 109703565.
What is Bonni Raab's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bonni Raab's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275535023 to Bonni Raab?
The Bonni Raab received its 1275535023 assignment from the Centers for Medicare & Medicaid Services on 2005-08-11.
When was the information regarding Bonni Raab most recently updated?
The details pertaining to the Bonni Raab, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.