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Contact Information

MELISSA BONVENTRE, LCSW
1428 5TH AVE
BAY SHORE, NY11706-4147
 Phone: 631-647-9577
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

School

1041S0200X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for MELISSA BONVENTRE · (Female)

NPI Number 1700240942
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 04/13/2016
Last updated 04/15/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 085306
  • NY License # 088324
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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