NPI 1265847370 · live from the CMS NPI Registry
Bridgette Alexander-Johnson, CDP, LSWAIC
Social Worker, Clinical in Lakewood, WA. National Provider Identifier 1265847370, active.
NPI record
| NPI | 1265847370 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 9307 74th St Sw, Lakewood, WA 98498 |
| Practice phone | 206-393-2273 |
| Mailing address | Po Box 98183, Lakewood, WA 98496 |
| Enumerated | June 26, 2014 |
| Last updated | February 23, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | CP 60277555 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.