Hallisey, Bonnie Joyce

Hallisey, Bonnie Joyce is an individual health care provider with primary practice located at 1500 Dorchester Ave , Dorchester MA 02122-1327. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Hallisey, Bonnie Joyce can be contacted via phone (617) 825-5000.

Contact Information

Primary practice address
1500 Dorchester Ave Dorchester MA 02122-1327
Phone: (617) 825-5000
Fax: (617) 288-5991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 103203 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 103203 Massachusetts

Profile Details

NPI number 1851450878
LBN Legal business name Hallisey, Bonnie Joyce
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 18 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 1851450878 NPPES
Massachusetts MEDICAID 1303511

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