| Healing Path | |
|
5500 White Swallow Way Chesapeake VA 23321-2330 | |
| (707) 490-9764 | |
| (757) 241-2521 |
| Full Name | Healing Path |
|---|---|
| Speciality | Social Worker |
| Location | 5500 White Swallow Way, Chesapeake, Virginia |
| Authorized Official Name and Position | Kelly Diguilio (OWNER) |
| Authorized Official Contact | 7077037815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Path 5500 White Swallow Way Chesapeake VA 23321-2330 Ph: (707) 490-9764 | Healing Path 5500 White Swallow Way Chesapeake VA 23321-2330 Ph: (707) 490-9764 |
| NPI Number | 1376264689 |
|---|---|
| Provider Enumeration Date | 09/06/2022 |
| Last Update Date | 08/28/2025 |
| Certification Date | 08/28/2025 |
| Medicare PECOS PAC ID | 3173909652 |
|---|---|
| Medicare Enrollment ID | O20221006002227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376264689 | NPI | - | NPPES |
| 0904009898 | Other | VA | LCSW |
| C013089 | Other | NC | LCSW |
| 30016656690014 | Medicaid | VA | |
| SW19515 | Other | FL | LCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Kelly C Diguilio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891189429 PECOS PAC ID: 0345509873 Enrollment ID: I20180109000982 |
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