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

MS. Bonita Rae Wickstrom, LISW

Individual provider Social Worker · NPI 1225075161

MS. Bonita Rae Wickstrom, LISW is a Social Worker in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
In the registry since
2006
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

See every abbreviation used in this directory →

Practice location Address checks out

12836 Lomas Blvd NE Ste B
Albuquerque, NM 87112-6210
Phone: (505) 453-7862
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence I-4390 (NM)

Record details

NPI number1225075161
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESJuly 13, 2026

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