THERESA M. BONANOMI
NPI 1003365222
Social Worker - Clinical in New London, CT

Active since September 29, 2016
97.83/100
CMS Quality Rating
365 MONTAUK AVE, NEW LONDON, CT 06320(860) 444-5141 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2023, Aug 15, 2022, Jan 27, 2022 and 2 more (5 updates tracked since 2016).

About Theresa M. Bonanomi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA M. BONANOMI (NPI 1003365222) is an individual clinical provider in New London, Connecticut, licensed in Connecticut (012927) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1003365222
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTHERESA M. BONANOMI
Location Address365 MONTAUK AVENew London, CT 06320-4700
Mailing Address365 Montauk AveNew London, CT 06320-4769 · (860) 444-5141
Sole ProprietorNo
Enumeration DateSeptember 29, 2016
Last NPPES UpdateMay 16, 20235 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
NPI 1003365222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in CT · 012927 Licensed in OR · L10625
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedAdult CompanionTaxonomy 372600000X
365 MONTAUK AVE, New London, CT 06320

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Diabetes Educator)
365 MONTAUK AVE
NEW LONDON, CT 06320
Family Medicine (Sleep Medicine)
365 MONTAUK AVE
NEW LONDON, CT 06320
Advanced Practice Midwife
365 MONTAUK AVE
NEW LONDON, CT 06320
Emergency Medicine
365 MONTAUK AVE
NEW LONDON, CT 06320
Anesthesiology
365 MONTAUK AVE
NEW LONDON, CT 06320
Psychiatry & Neurology (Psychiatry)
365 MONTAUK AVE
NEW LONDON, CT 06320
Nurse Practitioner (Family)
365 MONTAUK AVE
NEW LONDON, CT 06320
Physician Assistant
365 MONTAUK AVE
NEW LONDON, CT 06320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Bonanomi's NPI number?

The NPI number for Theresa Bonanomi is 1003365222. It was assigned to this individual provider in the NPPES registry on September 29, 2016.

Where is Theresa Bonanomi located?

Theresa Bonanomi practices at 365 Montauk Ave, New London, CT 06320. The listed phone number is (860) 444-5141.

What is Theresa Bonanomi's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Theresa Bonanomi was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.