Individual
MS. BONNIE JOYCE HALLISEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1500 DORCHESTER AVE, DORCHESTER, MA 02122-1327
(617) 825-5000
(617) 288-5991
Mailing address
1500 DORCHESTER AVE, DORCHESTER, MA 02122-1327
(617) 825-5000
(617) 288-5991
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
103203
MA
1041C0700X
Clinical Social Worker
Primary
103203
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303511
—
MA
Enumeration date
12/06/2006
Last updated
09/11/2025
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