NPI 1972033991 · live from the CMS NPI Registry
Bridges Behavioral Health
Social Worker, Clinical in Washington, DC. National Provider Identifier 1972033991, active.
NPI record
| NPI | 1972033991 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1818 New York Ave Ne Ste 115, Washington, DC 20002 |
| Practice phone | 202-425-6345 |
| Mailing address | 7310 Olive Branch Way, Laurel, MD 20707 |
| Enumerated | June 13, 2017 |
| Last updated | June 13, 2017 |
| Authorized official | Chandra Colvin, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Registered Nurse, Psych/Mental Health | 163WP0808X | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — |
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.