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NPI Code Detail

MEDICARE: NICOLA J. BONE LCSW

MEDICARE: NICOLA J. BONE LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker4975TN

General Provider Information

NPI Number : 1518138866
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLA J. BONE LCSW
Provider Business Mailing Address
First Line : 10434 JACKSON OAKS WAY
Second Line :
City : KNOXVILLE
State : TN
Zip : 37922-3293
Country : US
Telephone Number : 865-730-4171
Fax Number :
Provider Business Practice Location Address
First Line : 10434 JACKSON OAKS WAY
Second Line :
City : KNOXVILLE
State : TN
Zip : 37922-3293
Country : US
Telephone Number : 865-730-4171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2008
Last Update Date : 11/26/2019

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Directions to “ NICOLA J. BONE LCSW” Practice Location

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