Bonnie Jeanne Kelly in Newport News - Clinical
Bonnie Jeanne Kelly - NPI 1861420366
Bonnie Jeanne Kelly is a Clinical in Newport News, Virginia. Bonnie Jeanne Kelly practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bonnie Jeanne Kelly is 1861420366. The last update date is 2019-02-07.
Bonnie Jeanne Kelly's current location address is 708 Mobjack Pl, Newport News, Virginia. You can contact this provider via phone number 7578731958 and fax number 7578732143. The mailing address for Bonnie Jeanne Kelly is 708 Mobjack Pl, Newport News, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonnie Jeanne Kelly |
|---|---|
| Address | 708 Mobjack Pl, Newport News, Virginia |
| Phone Number | 7578731958 |
| Fax Number | 7578732143 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1861420366 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2019-02-07 |
Provider Mailing Address Detail
| Address | 708 Mobjack Pl |
|---|---|
| City | Newport News |
| State | Virginia (VA) |
| Post Code | 236061957 |
| Phone Number | 7578731958 |
| Fax Number | 7578732143 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904000483 |
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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 |
|---|---|---|---|
| 2109871 | VA | MAMSI | |
| 86862 | VA | SENTARA | |
| 5359671 | VA | AETNA | |
| 331939 | VT | ANTHEM BC/BS | |
| 8952914 | VA | -- | |
| 43493 | VA | VALUE OPTIONS |
Post Comment/ Review Below
What is the unique identifier code issued to Bonnie Jeanne Kelly by the Centers for Medicare & Medicaid Services (CMS)?
The Bonnie Jeanne Kelly has been assigned the NPI (National Provider Identifier) 1861420366. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Bonnie Jeanne Kelly is physically located?
The Bonnie Jeanne Kelly is situated at the following address: 708 Mobjack Pl, Newport News, VA 236061957.
What is Bonnie Jeanne Kelly's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bonnie Jeanne Kelly is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date was the 1861420366 assigned to Bonnie Jeanne Kelly?
The Bonnie Jeanne Kelly was issued its 1861420366 on 2006-06-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Bonnie Jeanne Kelly most recently updated or refreshed?
The details pertaining to the Bonnie Jeanne Kelly, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-02-07.