National Provider Identifier

Bonnie D Maute, LCSW CEAP SAP

Bonnie D Maute, LCSW CEAP SAP is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Fairport, NY and a listed phone number of (585) 704-2775.

NPI 1306855440Fairport, NYClinical Social Worker

Profile Overview

NPI
1306855440
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
August 07, 2006
Last Updated
March 17, 2018

Practice Location

  • 100 Cross Keys Office Park Ste 115
  • Fairport, NY 14450-3509

Phone: (585) 704-2775

Mailing Address

  • 463 Cline RD
  • Victor, NY 14564

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1306855440
Entity Type
Individual
Last Name
Maute
First Name
Bonnie
Middle Name
D
Name Prefix
Mrs.
Credential
LCSW CEAP SAP
Mailing Street Address
463 Cline RD
Mailing City
Victor
Mailing State
NY
Mailing ZIP Code
14564
Mailing Country
US
Mailing Phone
(585) 704-2775
Mailing Fax
(505) 924-9054
Practice Street Address
100 Cross Keys Office Park Ste 115
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-3509
Practice Country
US
Practice Phone
(585) 704-2775
Enumeration Date
August 07, 2006
Last Updated
March 17, 2018
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)