BONITA MARIA BANTOM LICSW
NPI 1295986628
Social Worker - Clinical in Washington, DC

Active since October 03, 2008
712 6TH ST NE, WASHINGTON, DC 20002(202) 546-9328 Get Directions Write a Review

NPPES record last updated: September 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bonita Maria Bantom Licsw NPPES

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

BONITA MARIA BANTOM LICSW (NPI 1295986628) is an individual clinical provider in Washington, District Of Columbia, licensed in District Of Columbia (LC50077952) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1295986628
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBONITA MARIA BANTOMCredential: LICSW
Location Address712 6TH ST NEWashington, DC 20002-4324
Mailing Address712 6th St NeWashington, DC 20002-4324 · (202) 546-9328
Sole ProprietorNo
Enumeration DateOctober 3, 2008
Last NPPES UpdateSeptember 30, 2013
NPI 1295986628 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 DC · LC50077952
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.
712 6TH ST NE, Washington, DC 20002

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 Bonita Bantom's NPI number?

The NPI number for Bonita Bantom is 1295986628. It was assigned to this individual provider in the NPPES registry on October 3, 2008.

Where is Bonita Bantom located?

Bonita Bantom practices at 712 6th St NE, Washington, DC 20002. The listed phone number is (202) 546-9328.

What is Bonita Bantom'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 Bonita Bantom was last updated on September 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.