BONNIE JEANNE KELLY L.C.S.W. NPI 1861420366

NPI Information

NPI: 1861420366
Provider Name: BONNIE JEANNE KELLY, L.C.S.W.
Classification: Social Worker - 1041C0700X
Specialization: Clinical
Entity Type: Individual
PECOS Registration: Yes
Address: 708 MOBJACK PL
NEWPORT NEWS, VA
ZIP 23606
Phone: (757) 873-1958

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NPI Details

Bonnie Jeanne Kelly, L.C.S.W. is a clinical social worker in Newport News, VA. The provider is 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Bonnie Jeanne Kelly, L.C.S.W. NPI is 1861420366. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

708 MOBJACK PL
NEWPORT NEWS, VA
ZIP 23606-957
Phone: (757) 873-1958
Fax: (757) 873-2143

The NPI 1861420366 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 6/30/2006 and was last updated on 2/7/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	0904000483	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	008952914	MEDICAID	VIRGINIA
2	5359671	OTHER	VIRGINIA	AETNA
3	86862	OTHER	VIRGINIA	SENTARA
4	043493	OTHER	VIRGINIA	VALUE OPTIONS
5	2109871	OTHER	VIRGINIA	MAMSI
6	331939	OTHER	VERMONT	ANTHEM BC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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