MRS. SUSAN DONOHUE BONOMO LCSW-R
NPI 1124062245
Social Worker - Clinical in Syracuse, NY

Q: What is Susan Bonomo's NPI number?

The NPI number for Susan Bonomo is 1124062245. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Q: What is Susan Bonomo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Bonomo was last updated on August 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 16, 2006

742 JAMES ST, OUTPATIENT MENTAL HEALTH, SYRACUSE, NY 13203(315) 703-2700(315) 703-2730 Get Directions Write a Review

NPPES record last updated: August 8, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Susan Donohue Bonomo Lcsw-r NPPES

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

MRS. SUSAN DONOHUE BONOMO LCSW-R (NPI 1124062245) is an individual clinical provider in Syracuse, New York, licensed in New York (R039645-1) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1124062245

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. SUSAN DONOHUE BONOMOCredential: LCSW-R

Location Address742 JAMES ST, OUTPATIENT MENTAL HEALTHSyracuse, NY 13203-2017

Mailing Address742 James St, Outpatient Mental HealthSyracuse, NY 13203-2017 · (315) 703-2700 · Fax (315) 703-2730

Phone(315) 703-2700

Fax(315) 703-2730

Sole ProprietorNo

Enumeration DateJune 16, 2006

Last NPPES UpdateAugust 8, 2013

✔ NPI 1124062245 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 NY · R039645-1

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.

742 JAMES ST, Syracuse, NY 13203

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Other Identifiers 1

Medicare PINRA7964NY

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.

DR. AHMED R NIZAR M.D.

Psychiatry & Neurology (Psychiatry)

742 JAMES ST, OUTPATIENT MENTAL HEALTH SERVICES
SYRACUSE, NY 13203

Onondaga County (315) 703-2700

MS. JAMIE LYNNE PALMER LCSW

Social Worker (Clinical)