Individual
MS. BRENDA BONUCCELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14 S AUBURN AVE, RICHMOND, VA 23221-2910
(804) 402-0429
Mailing address
14 S AUBURN AVE, RICHMOND, VA 23221-2910
(804) 402-0429
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006655
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
463000281
—
VA
01
—
Q463000281
MEDICARE
VA
Enumeration date
09/13/2007
Last updated
05/30/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us