Active NPIIndividual providerSole proprietor

Boni Shevelove, LSW

Social Worker in Montclair, New Jersey

NPI Number1144739012
Practice location
129 Valley RD Fl 2, Montclair, NJ 07042-2331
Fax
862-485-0493
Last updated
October 12, 2017

Boni Shevelove is a Social Worker based in Montclair, NJ. Boni Shevelove practices in Montclair, NJ and has the professional credentials of LSW. The NPI Number for Boni Shevelove is 1144739012 and holds a License No. 44SC05752600 (NJ). The current practice location address for Boni Shevelove is 129 Valley RD Fl 2, Montclair, NJ 07042-2331 and can be reached out via phone at 186-248-5049 and via fax at 862-485-0493.

Provider Profile Details

NPI Number
1144739012
Provider Name
Boni Shevelove
Credential
LSW
Provider Entity Type
Individual
Gender
Female
Address
129 Valley RD Fl 2, Montclair, NJ 07042-2331
Phone Number
186-248-5049
Fax Number
862-485-0493
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
September 23, 2017
Last Update Date
October 12, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
129 Valley RD Fl 2
Montclair, NJ 07042-2331
Zip
07042-2331
Phone Number
186-248-5049
Fax Number
862-485-0493
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
41 Hillcrest RD
West Caldwell, NJ 07006-7739
City
West Caldwell
State
NJ
Zip
07006-7739
Phone Number
862-485-0493

License Information

License Number
44SC05752600
License State
NJ
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Boni Shevelove, LSW?

The NPI number of Boni Shevelove, LSW is 1144739012. It was assigned on September 23, 2017 and is currently active in the NPPES registry.

What is the specialty of Boni Shevelove, LSW?

Boni Shevelove, LSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NJ under license number 44SC05752600.

Where does Boni Shevelove, LSW practice?

The practice location is 129 Valley RD Fl 2, Montclair, NJ 07042-2331. The office can be reached at 186-248-5049 (phone) or 862-485-0493 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144739012 directly on the NPPES registry website.

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