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

Theresa M. Bonanomi

Individual provider Mental Health Counselor · NPI 1003365222

Theresa M. Bonanomi is a Mental Health Counselor in New London, Connecticut. Licensed in Connecticut and Oregon. Registered with an NPI since 2016.

Licensed in
CT, OR
In the registry since
2016
Specialties on file
4

Practice location Address checks out

365 Montauk Ave
New London, CT 06320-4700
Phone: (860) 444-5141
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 012927 (CT)
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X · Licence L10625 (OR)
Adult Companion Taxonomy 372600000X

Record details

NPI number1003365222
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 29, 2016
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023

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