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

Rodolfo Steven Bonilla, CSW

Individual provider Clinical Social Worker · NPI 1639797384

Rodolfo Steven Bonilla, CSW is a Clinical Social Worker in Park City, Utah. Licensed in Utah. Registered with an NPI since 2020.

Licensed in
UT
In the registry since
2020

Practice location Address checks out

750 Round Valley Dr
Park City, UT 84060-7548
Phone: (435) 655-0926
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 11275783-3502 (UT)

Record details

NPI number1639797384
Entity typeIndividual (Type 1)
GenderMale
Credentials CSW
Sole proprietorNo
NPI enumeratedJuly 9, 2020
Last updated in NPPESJuly 9, 2020
Certification dateJuly 9, 2020

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