Bonello, Jamel Charlotte
Bonello, Jamel Charlotte is an sole proprietor health care provider with primary practice located at 402 E Main St , Waterbury CT 06702-1701. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bonello, Jamel Charlotte can be contacted via phone (203) 755-1143.Contact Information
Primary practice address
402 E Main St
Waterbury CT 06702-1701
Phone: (203) 755-1143
Fax: (203) 753-3274
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 006839 | Connecticut |
Profile Details
| NPI number | 1124248182 |
|---|---|
| LBN Legal business name | Bonello, Jamel Charlotte |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2007 |
| Last updated | Apr 28th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124248182 | NPPES |
| Connecticut | Other | 060669107 | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY |
| Connecticut | Other | PENDING | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY |
| Connecticut | Other | PENDING | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY |
| Connecticut | Other | 060669107 | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY |
| Connecticut | Other | PENDING | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY |
| Connecticut | Other | PENDING | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY |
| Connecticut | Other | 12207576 | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY |
| Connecticut | Other | 060669107 | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY |
| Connecticut | Other | 060669107 | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY |
| Connecticut | Other | D339123 WATERBURY | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY |
| Connecticut | MEDICAID | 008030411 | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY |
| Connecticut | Other | 060669107 | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY |
| Connecticut | Other | 060669107 | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY |
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