Bonnie Queen is a Clinical in Philadelphia, Pennsylvania. Bonnie Queen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bonnie Queen is 1285774463. The last update date is 2007-07-08.
Bonnie Queen's current location address is 7500 Germantown Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2152476516 and fax number 2152470564. The mailing address for Bonnie Queen is 7500 Germantown Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonnie Queen |
|---|---|
| Address | 7500 Germantown Ave, Philadelphia, Pennsylvania |
| Phone Number | 2152476516 |
| Fax Number | 2152470564 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1285774463 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7500 Germantown Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191191600 |
| Phone Number | 2152476516 |
| Fax Number | 2152470564 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CWO12283 |
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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 |
|---|---|---|---|
| 1039316002 | PA | -- |
Post Comment/ Review Below
What is the Bonnie Queen's 1285774463?
The Bonnie Queen's NPI (National Provider Identifier) Number is 1285774463. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Bonnie Queen's facilities are geographically located?
The facilities of Bonnie Queen are physically situated at the following location: 7500 Germantown Ave, Philadelphia, PA, 191191600.
What is Bonnie Queen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bonnie Queen's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Bonnie Queen receive the assignment of its 1285774463 from the Centers for Medicare & Medicaid Services?
The Bonnie Queen was issued its 1285774463 by the Centers for Medicare & Medicaid Services on 2007-02-07.
As of what date were the details pertaining to Bonnie Queen last refreshed?
The information related to the Bonnie Queen, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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