Provider Demographics
NPI:1205856317
Name:POST, BONNIE L (LCSW)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:L
Last Name:POST
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 PARK PL
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SCHOHARIE
Mailing Address - State:NY
Mailing Address - Zip Code:12157-5205
Mailing Address - Country:US
Mailing Address - Phone:518-295-2031
Mailing Address - Fax:518-295-2045
Practice Address - Street 1:113 PARK PL
Practice Address - Street 2:SUITE 1
Practice Address - City:SCHOHARIE
Practice Address - State:NY
Practice Address - Zip Code:12157-5205
Practice Address - Country:US
Practice Address - Phone:518-295-2031
Practice Address - Fax:518-295-2045
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0539561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00555784Medicaid
NY00555784Medicaid