1447388111 NPI number — MRS. GALE ANN BELLUCCI L.C.S.W.-C.

Table of content: MRS. GALE ANN BELLUCCI L.C.S.W.-C. (NPI 1447388111)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447388111 NPI number — MRS. GALE ANN BELLUCCI L.C.S.W.-C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BELLUCCI
Provider First Name:
GALE ANN
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
L.C.S.W.-C.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447388111
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7310 RITCHIE HWY STE 308
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GLEN BURNIE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21061-3089
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-766-9772
Provider Business Mailing Address Fax Number:
410-766-9774

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7310 RITCHIE HWY STE 308
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GLEN BURNIE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21061-3089
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-766-9772
Provider Business Practice Location Address Fax Number:
410-766-9774
Provider Enumeration Date:
03/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  07025 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1041C0700X , with the licence number: 1018009 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 028783 . This is a "VALUEOPTIONS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: PVPB122063 . This is a "APS HEALTHCARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 028783 . This is a "VALUEOPTIONS" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: QU10GA27 . This is a "MAGELLAN" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 218809 . This is a "MAPSI" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 028783 . This is a "VALUEOPTIONS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 096609 . This is a "MANAGED HEALTH NETWORK" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 218809 . This is a "MAMSI" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: T1740001 . This is a "BCBS OF NATIONAL CAPITAL" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 52537205 . This is a "CAREFIRST BCBS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 218809 . This is a "OPTIMUM CHOICE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: T1740001 . This is a "CAREFIRST BLUECHOICE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 4527759 . This is a "AETNA PROVIDER ID" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: QU10GA27 . This is a "NCAS" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 218809 . This is a "ONENET PROVIDER ID" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 218809 . This is a "MDIPA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: QU10GA27 . This is a "BCBS PROVIDER ID" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: T1740001 . This is a "CAREFIRST BLUEPREFERRED" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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