Provider Demographics
NPI:1760930952
Name:HEALEY, BONNIE (LCSW, CADC)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:
Last Name:HEALEY
Suffix:
Gender:F
Credentials:LCSW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 250
Mailing Address - Street 2:
Mailing Address - City:PIPERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18947-0250
Mailing Address - Country:US
Mailing Address - Phone:267-528-9061
Mailing Address - Fax:267-363-3220
Practice Address - Street 1:6926 OLD EASTON RD
Practice Address - Street 2:
Practice Address - City:PIPERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18947
Practice Address - Country:US
Practice Address - Phone:267-528-9061
Practice Address - Fax:267-363-3220
Is Sole Proprietor?:No
Enumeration Date:2016-09-15
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0187221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical