IndividualActive
Bonita Wickstrom, LISW
NPI 1225075161 · Social Worker · Albuquerque, NM
Bonita Wickstrom, LISW is a Social Worker provider in Albuquerque, NM (NPI 1225075161).
Provider details
- NPI number
- 1225075161
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LISW
- Sex
- Female
- License
- I-4390 (NM)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12836 Lomas Blvd Ne
Suite B
Albuquerque, NM 87112-6210
Phone: (505) 453-7862
Street-level locationGet directions
Mailing address
14507 Encantado Rd Ne
Albuquerque, NM 87123-2249
Registry dates
- Enumerated
- 2006-05-31
- Last updated
- 2007-07-08
Frequently asked questions
- What is Bonita Wickstrom's NPI number?
- Bonita Wickstrom's National Provider Identifier (NPI) is 1225075161, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bonita Wickstrom's specialty?
- Bonita Wickstrom is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Bonita Wickstrom located?
- Bonita Wickstrom's practice location on file with NPPES is 12836 Lomas Blvd Ne, Albuquerque, NM 87112-6210.
- What is Bonita Wickstrom's phone number?
- The practice phone number listed in the NPPES registry for Bonita Wickstrom is (505) 453-7862.
- Is Bonita Wickstrom's NPI active?
- Yes — Bonita Wickstrom's NPI (1225075161) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.