Bonney, Laurel A

Bonney, Laurel A is an individual health care provider with primary practice located at 100 Mill Plain Rd Fl 3 , Danbury CT 06811-5178. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bonney, Laurel A can be contacted via phone (203) 546-3414.

Contact Information

Primary practice address
100 Mill Plain Rd Fl 3 Danbury CT 06811-5178
Fax: (203) 546-3455
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904005161 Virginia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 73078336 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 10076 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW12263 Florida

Profile Details

NPI number 1003953787
LBN Legal business name Bonney, Laurel A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Dec 18th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003953787 NPPES
Virginia MEDICAID 010037328

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