Provider Demographics
NPI:1447282553
Name:BELL, JOHN ANDREW (MDIV, MSW, LCSW)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:ANDREW
Last Name:BELL
Suffix:
Gender:M
Credentials:MDIV, MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5995 DR MARTIN LUTHER KING JR ST S
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-5541
Mailing Address - Country:US
Mailing Address - Phone:727-698-0624
Mailing Address - Fax:727-821-6618
Practice Address - Street 1:5995 DR MARTIN LUTHER KING JR ST S
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-5541
Practice Address - Country:US
Practice Address - Phone:727-698-0624
Practice Address - Fax:727-821-6618
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW65421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical