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

Individual provider Clinical Social Worker · NPI 1699826602

MS. Bonita E Fazio, LICSW is a Clinical Social Worker in St Johnsbury, Vermont. Practices as a sole proprietor. Licensed in Massachusetts and Vermont.

Licensed in
MA, VT
In the registry since
2007
Specialties on file
2
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

297 Summer St Kingdom Recovery Ctr
St Johnsbury, VT 05819-2283
Phone: (802) 748-2524
Fax: (802) 748-2524
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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 089-0001104 (VT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 1026261 (MA)

Record details

NPI number1699826602
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJanuary 16, 2007
Last updated in NPPESJune 6, 2008

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