IndividualActive
Rodolfo Bonilla, CSW
NPI 1639797384 · Clinical Social Worker · Park City, UT
Rodolfo Bonilla, CSW is a Clinical Social Worker provider in Park City, UT (NPI 1639797384).
Provider details
- NPI number
- 1639797384
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- CSW
- Sex
- Male
- Sole proprietor
- No
- License
- 11275783-3502 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
750 Round Valley Dr
Park City, UT 84060-7548
Phone: (435) 655-0926
Street-level locationGet directions
Mailing address
2252 Samuel Colt Ct
Park City, UT 84060-7423
Registry dates
- Enumerated
- 2020-07-09
- Last updated
- 2020-07-09
- Certified
- 2020-07-09
Frequently asked questions
- What is Rodolfo Bonilla's NPI number?
- Rodolfo Bonilla's National Provider Identifier (NPI) is 1639797384, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rodolfo Bonilla's specialty?
- Rodolfo Bonilla is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Rodolfo Bonilla located?
- Rodolfo Bonilla's practice location on file with NPPES is 750 Round Valley Dr, Park City, UT 84060-7548.
- What is Rodolfo Bonilla's phone number?
- The practice phone number listed in the NPPES registry for Rodolfo Bonilla is (435) 655-0926.
- Is Rodolfo Bonilla's NPI active?
- Yes — Rodolfo Bonilla's NPI (1639797384) is active in the NPPES registry as of the last update on 2020-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.