Krystle Bellomo
Individual provider Active NPI Clinical Social Worker · Centreville, VA
NPI 1194436394 · NPPES record last updated Dec 8, 2022
Key facts
- NPI
- 1194436394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 13666 Bayberry LN Apt 404
Centreville, VA 20121-4712 - Phone
- (703) 439-4689
- NPI assigned
- Dec 8, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
13666 Bayberry LN Apt 404
Centreville, VA 20121-4712
Mailing address
13666 Bayberry LN Apt 404
Centreville, VA 20121-4712
Phone (034) 394-6897
Other providers in Centreville, VA
- Beam Pediatric Therapy, LLC
- Willie Keith Beasley
- Behavioral Expectations LLC
- Beijing Oriental Medicine Clinic
- Scott I Bell
- Benjamin K. Lee DMD & Associates, P.C.
- Benjamin Lee, D.M.D. & Associates, P.C.
- Constance Victoria Bennett
- Benpay Health Group LLC
- Erin Alicia Benson
All providers in Centreville, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.