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BONITA WICKSTROM INC
NPI 1548205289
Social Worker - Clinical in Albuquerque, NM

Active since June 17, 2006
12836 LOMAS BLVD NE, SUITE B, ALBUQUERQUE, NM 87112(505) 453-7862 Get Directions Write a Review

NPPES record last updated: January 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bonita Wickstrom Inc NPPES

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

BONITA WICKSTROM INC (NPI 1548205289) is a healthcare organization registered as a clinical in Albuquerque, New Mexico and active in the NPI registry since June 2006. The organization lists Bonita Wickstrom, President, as its authorized official.

NPPES Registry Identity

NPI1548205289
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBONITA WICKSTROM INC
Location Address12836 LOMAS BLVD NE, SUITE BAlbuquerque, NM 87112-6210
Mailing Address14507 Encantado Rd NeAlbuquerque, NM 87123-2249 · (505) 275-7795
Phone(505) 453-7862
Organization SubpartNo
Authorized OfficialBonita WickstromPresident · (505) 275-7795
Enumeration DateJune 17, 2006
Last NPPES UpdateJanuary 29, 2008
✔ NPI 1548205289 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 NM · I4390
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.
12836 LOMAS BLVD NE, Albuquerque, NM 87112
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

MS. ELLEN M. CURLEY-ROAM LISW
Social Worker (Clinical)
12836 LOMAS BLVD NE, SUITE B
ALBUQUERQUE, NM 87112
Bernalillo County (505) 306-6047
MS. BONITA RAE WICKSTROM LISW
Social Worker
12836 LOMAS BLVD NE, SUITE B
ALBUQUERQUE, NM 87112
Bernalillo County (505) 453-7862
MS. LUCY A BIRBIGLIA LCSW LISW
Social Worker (Clinical)
12836 LOMAS BLVD NE, SUITE B
ALBUQUERQUE, NM 87112
Bernalillo County (505) 307-3718
DR. BHALACHANDRA A KULKARNI MD
Family Medicine
12836 LOMAS BLVD NE, SUITE D
ALBUQUERQUE, NM 87112
Bernalillo County (505) 298-0230
MS. LYNETTE A CURLEY-ROAM LISW, REV.
Social Worker (Clinical)
12836 LOMAS BLVD NE, STE. B
ALBUQUERQUE, NM 87112
Bernalillo County (505) 306-6272

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 Wickstrom Inc's NPI number?

The NPI number for Bonita Wickstrom Inc is 1548205289. It was assigned to this organization in the NPPES registry on June 17, 2006.

Where is Bonita Wickstrom Inc located?

Bonita Wickstrom Inc is located at 12836 Lomas Blvd NE Suite B, Albuquerque, NM 87112. The listed phone number is (505) 453-7862.

What is Bonita Wickstrom Inc'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 Wickstrom Inc was last updated on January 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.