Bongiovi, Jamie

Bongiovi, Jamie is an individual health care provider with primary practice located at 1141 Pear Tree Ln Suite 100, Napa CA 94558. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Bongiovi, Jamie can be contacted via phone (707) 254-1774.

Contact Information

Primary practice address
1141 Pear Tree Ln Suite 100 Napa CA 94558
Phone: (707) 254-1774
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ASW69153 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW013499 Pennsylvania
Behavioral Health & Social Service Providers / Social Worker 104100000X LCSW82066 California

Profile Details

NPI number 1013071067
LBN Legal business name Bongiovi, Jamie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Nov 15th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013071067 NPPES
California Other 1013071067 NPI

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