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Individual

JAMIE BONGIOVI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
300 HARTLE CT, NAPA, CA 94559-4078
(707) 254-1775
Mailing address
1141 PEAR TREE LN STE 100, NAPA, CA 94558-6485

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW82066
CA
1041C0700X
Clinical Social Worker
ASW69153
CA
1041C0700X
Clinical Social Worker
CW013499
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1013071067
NPI
CA
Enumeration date
12/21/2006
Last updated
02/09/2026
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