Individual
MS. JUDITH BELLOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6418 BRECKENRIDGE CIRCLE, LAKE WORTH, FL 33467
(516) 633-3412
(561) 766-2189
Mailing address
6418 BRECKENRIDGE CIRCLE, LAKE WORTH, FL 33467
(516) 633-3412
(561) 766-2189
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW14127
FL
251S00000X
Community/Behavioral Health Agency
2071410-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00393339
—
NY
Enumeration date
08/24/2010
Last updated
07/21/2022
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