National Provider Identifier
Bonnie Lynne Stathis, LCSW
Bonnie Lynne Stathis, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Romulus, NY and a listed phone number of (866) 810-0345.
Profile Overview
- NPI
- 1023899135
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 13, 2023
- Last Updated
- October 13, 2023
Practice Location
- 5705 State Route 96
- Romulus, NY 14541-9551
Phone: (866) 810-0345
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1023899135
- Entity Type
- Individual
- Last Name
- Stathis
- First Name
- Bonnie
- Middle Name
- Lynne
- Credential
- LCSW
- Mailing Street Address
- 5705 State Route 96
- Mailing City
- Romulus
- Mailing State
- NY
- Mailing ZIP Code
- 14541-9551
- Mailing Country
- US
- Mailing Phone
- (866) 810-0345
- Practice Street Address
- 5705 State Route 96
- Practice City
- Romulus
- Practice State
- NY
- Practice ZIP Code
- 14541-9551
- Practice Country
- US
- Practice Phone
- (866) 810-0345
- Enumeration Date
- October 13, 2023
- Last Updated
- October 13, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 13, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)