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Contact Information

KELLY C DIGUILIO, LCSW
5500 WHITE SWALLOW WAY
CHESAPEAKE, VA23321-2330
 Phone: 707-490-9764
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for KELLY C DIGUILIO · (Female)

NPI Number 1891189429
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 03/20/2015
Last updated 09/06/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 467
  • FL License # SW19515
  • NC License # C013089
  • VA License # 0904009898
  • VA Medicaid 1891189429
  • AK Other 508559 MASTER IN ADDICTION CERTIFICATION
  • FL Other SW19515 LCSW
  • NC Other C013089 LCSW
  • VA Other 0904009898 LCSW
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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