Provider Demographics
NPI:1215120662
Name:BONET, NORMA LISBETH (LCSW)
Entity type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:LISBETH
Last Name:BONET
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20300 NW 42ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-1337
Mailing Address - Country:US
Mailing Address - Phone:305-558-2480
Mailing Address - Fax:305-558-0008
Practice Address - Street 1:10800 BISCAYNE BLVD
Practice Address - Street 2:SUITE 440
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-7482
Practice Address - Country:US
Practice Address - Phone:305-981-9897
Practice Address - Fax:305-981-9806
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW58281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical