Bonnie P Moody is a Clinical in Largo, Florida. Bonnie P Moody practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bonnie P Moody is 1306941851. The last update date is 2010-11-17.
Bonnie P Moody's current location address is 7431 114th Ave Ste 104, Largo, Florida. You can contact this provider via phone number 8006326074. The mailing address for Bonnie P Moody is 7431 114th Ave Ste 104, Largo, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonnie P Moody |
|---|---|
| Address | 7431 114th Ave Ste 104, Largo, Florida |
| Phone Number | 8006326074 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1306941851 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2010-11-17 |
Provider Mailing Address Detail
| Address | 7431 114th Ave Ste 104 |
|---|---|
| City | Largo |
| State | Florida (FL) |
| Post Code | 337735119 |
| Phone Number | 8006326074 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LSW000000339 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3926028 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bonnie P Moody by the Centers for Medicare & Medicaid Services?
The Bonnie P Moody has been issued the NPI (National Provider Identifier) 1306941851 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Bonnie P Moody's facilities are situated?
The facilities of Bonnie P Moody are physically located at the following address: 7431 114Th Ave Ste 104, Largo, FL, 337735119.
What is Bonnie P Moody's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bonnie P Moody's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did Bonnie P Moody receive its 1306941851 assignment from the Centers for Medicare & Medicaid Services?
The Bonnie P Moody was assigned its 1306941851 on 2006-09-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Bonnie P Moody most recently updated or revised?
The information pertaining to Bonnie P Moody, including its address, specialty, and other relevant details, was last updated or revised on 2010-11-17.