MARK BONAVENTURA JR. LCSW
NPI 1326423500
Social Worker - Clinical in Waterbury, CT
NPI Status: Active since July 29, 2015
Contact Information
64 ROBBINS ST
BEHAVIORAL HEALTH- 2ND FLOOR
WATERBURY, CT
ZIP 06708
Phone: (203) 573-6103
- Individual
- Male
- Social Worker
- Clinical
About MARK BONAVENTURA
This page provides the complete NPI Profile along with additional information for Mark Bonaventura, a provider established in Waterbury, Connecticut with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1326423500 assigned on July 2015. The practitioner's primary taxonomy code is 1041C0700X with license number 9011 (CT). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1326423500
- Provider Name
- MARK BONAVENTURA JR. LCSW
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 64 ROBBINS ST BEHAVIORAL HEALTH- 2ND FLOOR WATERBURY, CT 06708
- Location Phone
- (203) 573-6103
- Mailing Address
- 64 ROBBINS ST BEHAVIORAL HEALTH- 2ND FLOOR WATERBURY, CT 06708
- Mailing Phone
- (203) 573-6103
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-29-2015
- Last Update Date
- 07-29-2015
- Code Navigator
A clinical social worker like Mark Bonaventura is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 9011
- License State
- CT
- Taxonomy Description
- A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 2 | 6 | 4 | 2 | 3 | 5 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 4 | 6 | 8 | 2 | 6 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 4 + 6 + 8 + 2 + 6 + 5 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1326423500 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1598755753 | DR. ROBERT E MURRAY III MD Individual | Emergency Medicine | 64 ROBBINS ST WATERBURY, CT 06708 (617) 571-4886 |
| 1184615114 | WATERBURY HOSPITAL Organization | General Acute Care Hospital | 64 ROBBINS ST WATERBURY, CT 06708 (203) 573-7280 |
| 1902888936 | MRS. JOAN M DOBACK PA-C Individual | Physician Assistant (Surgical) | 64 ROBBINS ST WATERBURY, CT 06708 (203) 573-7233 |
| 1033191028 | MRS. JULIET ELISABETH RIVERA PA-C Individual | Physician Assistant | 64 ROBBINS ST WATERBURY, CT 06708 (203) 573-7066 |
| 1477535177 | MR. CRAIG ALAN MENDOLA LCSW Individual | Social Worker (Clinical) | 64 ROBBINS ST WATERBURY, CT 06708 (203) 573-6500 |
| 1124000690 | MS. ELAINE A POULOS LPC Individual | Counselor (Professional) | 64 ROBBINS ST CRISIS INTERVENTION CENTER WATERBURY, CT 06708 (203) 573-6500 |
| 1659353118 | MRS. MADELINE FRANCIS REVERE APRN Individual | Nurse Practitioner (Psychiatric/Mental Health) | 64 ROBBINS ST CRISIS INTERVENTION CENTER WATERBURY, CT 06708 (203) 573-6798 |
| 1811979370 | MR. ANTHONY MARK LEONARDI PHD Individual | Counselor (Professional) | 64 ROBBINS ST CRISIS INTERVENTION CENTER WATERBURY, CT 06708 (203) 573-6500 |
| 1720060296 | MRS. SANDRA L FITZGERALD LPC,LADC Individual | Counselor | 64 ROBBINS ST CRISIS INTERVENTION CENTER WATERBURY, CT 06708 (203) 573-6798 |
| 1902888480 | MRS. JENNIFER KATE DITUNNO LPC Individual | Counselor | 64 ROBBINS ST CRISIS INTERVENTION CENTER WATERBURY, CT 06708 (203) 573-6500 |
| 1659354751 | MS. AMY LISA KENNELLY LCSW Individual | Social Worker (Clinical) | 64 ROBBINS ST CRISIS INTERVENTION WATERBURY, CT 06708 (203) 573-6500 |
| 1811970080 | MR. JOHN PETER VERONESI LPC Individual | Counselor (Professional) | 64 ROBBINS ST CRISIS INTERVENTION CENTER WATERBURY, CT 06708 (203) 573-6500 |
| 1114900065 | MRS. CARRIE MARIE SCAMPOLINO LPC Individual | Counselor (Professional) | 64 ROBBINS ST CRISIS INTERVENTION WATERBURY, CT 06708 (203) 573-6500 |
| 1063496776 | LYNN BAYLIS P.A. Individual | Physician Assistant | 64 ROBBINS ST WATERBURY, CT 06708 (203) 573-6295 |
| 1821072471 | JAMES PAUL SANTACROCE MD Individual | Emergency Medicine | 64 ROBBINS ST WATERBURY, CT 06708 (203) 573-6295 |
| 1407831779 | ROBERT DREW GREENE MD Individual | Emergency Medicine | 64 ROBBINS ST WATERBURY, CT 06708 (203) 573-6295 |
| 1659356897 | KINSON LEE MD Individual | Psychiatry & Neurology (Psychiatry) | 64 ROBBINS ST WATERBURY, CT 06708 (203) 573-7265 |
| 1336124437 | GREGORY WARREN SCHMIDT MD Individual | Emergency Medicine | 64 ROBBINS ST WATERBURY, CT 06708 (203) 573-6295 |
| 1194700013 | RALPH ROBERT ROHATSCH III MD Individual | Emergency Medicine | 64 ROBBINS ST WATERBURY, CT 06708 (203) 573-6295 |
| 1154307502 | SABOOH MUBBASHAR MD Individual | Psychiatry & Neurology (Psychiatry) | 64 ROBBINS ST CRISIS INTERVENTION CENTER WATERBURY, CT 06708 (203) 573-6500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326423500, enumerated in the NPI registry as an "individual" on July 29, 2015
The provider is located at 64 Robbins St Behavioral Health- 2nd Floor Waterbury, Ct 06708 and the phone number is (203) 573-6103
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
This NPI record was last updated on July 29, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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