Ms Bonita E Fazio, LICSW - Clinical Social Worker in St Johnsbury, VT

Ms Bonita E Fazio, LICSW is a Social Worker - Clinical based in St Johnsbury, Vermont. Ms Bonita E Fazio is licensed to practice in Vermont (license number 089-0001104) and her current practice location is 297 Summer St, Kingdom Recovery Center, St Johnsbury, Vermont. She can be reached at her office (for appointments etc.) via phone at (802) 748-2524.

NPI number for Ms Bonita E Fazio is 1699826602 and her current mailing address is Po Box 152, St Johnsbury, Vermont. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699826602.

Contact Information

Ms Bonita E Fazio, LICSW
297 Summer St, Kingdom Recovery Center,
St Johnsbury, VT 05819-2283
(802) 748-2524
(802) 748-2524

Map and Direction




Healthcare Provider's Profile

Full NameMs Bonita E Fazio
GenderFemale
SpecialitySocial Worker - Clinical
Location297 Summer St, St Johnsbury, Vermont
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1699826602
  • Provider Enumeration Date: 01/16/2007
  • Last Update Date: 06/06/2008

Medical Identifiers

Medical identifiers for Ms Bonita E Fazio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699826602NPI-NPPES
1013478MedicaidVT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 089-0001104 (Vermont)Primary
1041C0700XSocial Worker - Clinical 1026261 (Massachusetts)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Bonita E Fazio is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Bonita E Fazio, LICSW
Po Box 152,
St Johnsbury, VT 05819-0152

Ph: (802) 748-2524
Ms Bonita E Fazio, LICSW
297 Summer St, Kingdom Recovery Center,
St Johnsbury, VT 05819-2283

Ph: (802) 748-2524

Reviews and Comments


Social Worker in St Johnsbury, VT

Katherine A. Harris, LICSW
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