National Provider Identifier

Bonnie Elizabeth O'Brien, LCSW

Bonnie Elizabeth O'Brien, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in East Aurora, NY and a listed phone number of (716) 200-8873.

NPI 1760765150East Aurora, NYClinical Social Worker

Profile Overview

NPI
1760765150
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
September 22, 2011
Last Updated
March 20, 2023

Practice Location

  • 411 Main St Rear
  • East Aurora, NY 14052-1700

Phone: (716) 200-8873

Mailing Address

  • 2431 Bullis RD
  • Elma, NY 14059-9239

Specialties

  • Clinical Social Worker (1041C0700X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1760765150
Entity Type
Individual
Last Name
O'Brien
First Name
Bonnie
Middle Name
Elizabeth
Credential
LCSW
Mailing Street Address
2431 Bullis RD
Mailing City
Elma
Mailing State
NY
Mailing ZIP Code
14059-9239
Mailing Country
US
Mailing Phone
(716) 200-8873
Mailing Fax
(716) 671-3191
Practice Street Address
411 Main St Rear
Practice City
East Aurora
Practice State
NY
Practice ZIP Code
14052-1700
Practice Country
US
Practice Phone
(716) 200-8873
Practice Fax
(716) 671-3191
Enumeration Date
September 22, 2011
Last Updated
March 20, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
March 20, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), Student in an Organized Health Care Education/Training Program (390200000X)