National Provider Identifier

Bonnie Carroll

Bonnie Carroll is listed in the NPPES registry with a primary specialty of Social Worker in Lockport, NY and a listed phone number of (716) 433-2484.

NPI 1801493812Lockport, NYSocial Worker

Profile Overview

NPI
1801493812
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
October 02, 2020
Last Updated
October 02, 2020

Practice Location

  • 637 Davison RD
  • Lockport, NY 14094-5339

Phone: (716) 433-2484

Mailing Address

  • 55 Dodge RD
  • Getzville, NY 14068-1205

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1801493812
Entity Type
Individual
Last Name
Carroll
First Name
Bonnie
Mailing Street Address
55 Dodge RD
Mailing City
Getzville
Mailing State
NY
Mailing ZIP Code
14068-1205
Mailing Country
US
Mailing Phone
(716) 831-2700
Mailing Fax
(716) 836-1775
Practice Street Address
637 Davison RD
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-5339
Practice Country
US
Practice Phone
(716) 433-2484
Practice Fax
(716) 836-1775
Enumeration Date
October 02, 2020
Last Updated
October 02, 2020
Sex
Female
Sole Proprietor
No
Certification Date
October 02, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)