Jamel Charlotte Bonello in Bantam - Clinical
Jamel Charlotte Bonello - NPI 1124248182
Jamel Charlotte Bonello is a Clinical in Bantam, Connecticut. Jamel Charlotte Bonello practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jamel Charlotte Bonello is 1124248182. The last update date is 2016-04-28.
Jamel Charlotte Bonello's current location address is Po Box 764, Bantam, Connecticut. You can contact this provider via phone number 8604800085. The mailing address for Jamel Charlotte Bonello is Po Box 764, Bantam, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jamel Charlotte Bonello |
|---|---|
| Address | Po Box 764, Bantam, Connecticut |
| Phone Number | 8604800085 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1124248182 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2016-04-28 |
Provider Mailing Address Detail
| Address | Po Box 764 |
|---|---|
| City | Bantam |
| State | Connecticut (CT) |
| Post Code | 67500764 |
| Phone Number | 8604800085 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6839 |
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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 |
|---|---|---|---|
| 60669107 | CT | ANTHEM BCBS OF CT WELLMORE | |
| PENDING | CT | CIGNA BEHAVIORAL HEALTH | |
| PENDING | CT | MHN | |
| 60669107 | CT | UBH-CONNECTICARE WELLMORE GRP/ | |
| PENDING | CT | AETNA BEHAVIORAL HEALTH | |
| PENDING | CT | MHN TRICARENORTH | |
| 12207576 | CT | CAQH | |
| 60669107 | CT | HEALTHYCT WELLMORE GRP/FACIL | |
| 60669107 | CT | UBH-UNITED HEALTHCARE WELLMO | |
| D339123 WATERBU | CT | BEACON HEALTH |
Post Comment/ Review Below
What is the unique identifier code issued to Jamel Charlotte Bonello by the Centers for Medicare & Medicaid Services (CMS)?
The Jamel Charlotte Bonello has been assigned the NPI (National Provider Identifier) 1124248182. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Jamel Charlotte Bonello is located?
The Jamel Charlotte Bonello is situated at the following address: Po Box 764, Bantam, CT, 67500764.
What is Jamel Charlotte Bonello's area of expertise and its corresponding taxonomy classification?
The Jamel Charlotte Bonello's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When did the Jamel Charlotte Bonello receive its 1124248182?
The Jamel Charlotte Bonello was issued its 1124248182 on 2007-05-01, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Jamel Charlotte Bonello last refreshed?
The information related to the Jamel Charlotte Bonello, including its address, specialty, and other relevant details, was last updated on 2016-04-28.