Provider Demographics
NPI:1447590393
Name:HOROVITZ, BONNA LYNN (LMSW)
Entity Type:Individual
Prefix:MS
First Name:BONNA
Middle Name:LYNN
Last Name:HOROVITZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 HIGH MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-5331
Mailing Address - Country:US
Mailing Address - Phone:845-294-5131
Mailing Address - Fax:
Practice Address - Street 1:106 STAGE RD
Practice Address - Street 2:SUITE 2
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-3551
Practice Address - Country:US
Practice Address - Phone:845-605-2672
Practice Address - Fax:845-294-0742
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-28
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY087656-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical