Golden, Bonnie
Golden, Bonnie is an sole proprietor health care provider with primary practice located at 8989 Cotswold Dr Suite 8, Burke VA 22015-1601. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Golden, Bonnie can be contacted via phone (703) 447-8389.Contact Information
Primary practice address
8989 Cotswold Dr Suite 8
Burke VA 22015-1601
Phone: (703) 447-8389
Fax: (703) 391-1595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904000541 | Virginia |
Profile Details
| NPI number | 1730105834 |
|---|---|
| LBN Legal business name | Golden, Bonnie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Aug 12th, 2011 - about 13 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 | 1730105834 | NPPES |
| Virginia | MEDICAID | 89-1726-4 | |
| Virginia | Other | A5330001 | |
| Virginia | Other | NF0561 | |
| Virginia | Other | 054050 | |
| Virginia | Other | 512368 | |
| Virginia | Other | 125335 | |
| Virginia | Other | 068541000 | |
| Virginia | Other | 345176 | |
| Virginia | Other | 5675146 |
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