NPI 1609185784 · live from the CMS NPI Registry
Carol Ann Bridgman
Social Worker, Clinical in Wilmington, DE. National Provider Identifier 1609185784, active.
NPI record
| NPI | 1609185784 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1303 Delaware Ave, Suite 103, Wilmington, DE 19806 |
| Practice phone | 610-517-4535 |
| Mailing address | 4 Harlech Dr, Wilmington, DE 19807 |
| Enumerated | October 6, 2010 |
| Last updated | December 4, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | Q1-0000860 (DE) |
| Social Worker, Clinical | 1041C0700X | CW015143 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.