Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bonita Maria Bantom, LICSW

Individual provider Clinical Social Worker · NPI 1295986628

Bonita Maria Bantom, LICSW is a Clinical Social Worker in Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2008.

Licensed in
DC
In the registry since
2008
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

712 6th St NE
Washington, DC 20002-4324
Phone: (202) 546-9328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LC50077952 (DC)

Record details

NPI number1295986628
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 3, 2008
Last updated in NPPESSeptember 30, 2013

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