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MR. NEIL J. BONAVITA LCSW
NPI 1063569291
Social Worker - Clinical in Philadelphia, PA

Active since January 03, 2007Opted out of Medicare · through Jan 1, 2027
1601 WALNUT ST STE 808, SUITE 808, PHILADELPHIA, PA 19102(215) 977-8282 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Neil J. Bonavita Lcsw NPPES

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

MR. NEIL J. BONAVITA LCSW (NPI 1063569291) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (CW012854) and active in the NPI registry since January 2007. He has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1063569291
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. NEIL J. BONAVITACredential: LCSW
Location Address1601 WALNUT ST STE 808, SUITE 808Philadelphia, PA 19102-2905
Mailing Address29 Fern AveCollingswood, NJ 08108-1918 · (215) 977-8282
Phone(215) 977-8282
Sole ProprietorYes
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063569291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in PA · CW012854
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.
1601 WALNUT ST STE 808, Philadelphia, PA 19102
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Neil J. Bonavita Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Neil Bonavita's NPI number?

The NPI number for Neil Bonavita is 1063569291. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Neil Bonavita located?

Neil Bonavita practices at 1601 Walnut St Ste 808 Suite 808, Philadelphia, PA 19102. The listed phone number is (215) 977-8282.

What is Neil Bonavita's specialty?

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

Is Neil Bonavita enrolled in Medicare?

No. Neil Bonavita has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Neil Bonavita was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.