Provider Demographics
NPI:1932961133
Name:BOND, BEVERLY ALVITA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:BEVERLY
Middle Name:ALVITA
Last Name:BOND
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:639 CORSICA AVE
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-2512
Mailing Address - Country:US
Mailing Address - Phone:302-563-8589
Mailing Address - Fax:
Practice Address - Street 1:639 CORSICA AVE
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-2512
Practice Address - Country:US
Practice Address - Phone:302-563-8589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-24
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ3-00110701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical