Provider Demographics
NPI:1295969384
Name:AIMETTI BUONO, KATHLEEN S (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:S
Last Name:AIMETTI BUONO
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 1:914 MOUNT KEMBLE AVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6650
Mailing Address - Country:US
Mailing Address - Phone:908-296-4850
Mailing Address - Fax:
Practice Address - Street 1:914 MOUNT KEMBLE AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6650
Practice Address - Country:US
Practice Address - Phone:908-296-4850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-05
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052487001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical