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MS. BONITA E FAZIO LICSW
NPI 1699826602
Social Worker - Clinical in St Johnsbury, VT

Active since January 16, 2007
297 SUMMER ST, KINGDOM RECOVERY CENTER, ST JOHNSBURY, VT 05819(802) 748-2524(802) 748-2524 Get Directions Write a Review

NPPES record last updated: June 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Bonita E Fazio Licsw NPPES

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

MS. BONITA E FAZIO LICSW (NPI 1699826602) is an individual clinical provider in St Johnsbury, Vermont, licensed in Vermont (089-0001104) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1699826602
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. BONITA E FAZIOCredential: LICSW
Location Address297 SUMMER ST, KINGDOM RECOVERY CENTERSt Johnsbury, VT 05819-2283
Mailing AddressPo Box 152St Johnsbury, VT 05819-0152 · (802) 748-2524 · Fax (802) 748-2524
Phone(802) 748-2524
Fax(802) 748-2524
Sole ProprietorYes
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJune 6, 2008
✔ NPI 1699826602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in VT · 089-0001104✔ Licensed in MA · 1026261
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.
297 SUMMER ST, St Johnsbury, VT 05819
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Other Identifiers 2

Medicaid1013478VT
Medicare PINFAVN4175VT

Other Providers at the Same Location NPPES 4

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

BONNIE L BASSETT LADC
Counselor
297 SUMMER ST
ST JOHNSBURY, VT 05819
Caledonia County (802) 748-1682
MR. GERALD A ZICKLER LADC
Counselor
297 SUMMER ST
ST JOHNSBURY, VT 05819
Caledonia County (802) 748-1682
MARY BISSONWARD LADC, LCMHC
Counselor
297 SUMMER ST
ST JOHNSBURY, VT 05819
Caledonia County (802) 748-1682
JOHANNA ESTHER RAWSON LADC
Counselor
297 SUMMER ST
ST JOHNSBURY, VT 05819
Caledonia County (802) 748-1682

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 Fazio's NPI number?

The NPI number for Bonita Fazio is 1699826602. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Bonita Fazio located?

Bonita Fazio practices at 297 Summer St Kingdom Recovery Center, St Johnsbury, VT 05819. The listed phone number is (802) 748-2524.

What is Bonita Fazio'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 Fazio was last updated on June 6, 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.