Bridge Counseling Center Inc in Smithtown - Clinical
Bridge Counseling Center Inc - NPI 1609812130
Bridge Counseling Center Inc is a Clinical in Smithtown, New York. Bridge Counseling Center Inc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bridge Counseling Center Inc is 1609812130. The last update date is 2021-07-20.
Bridge Counseling Center Inc's current location address is Po Box 286, Smithtown, New York. You can contact this provider via phone number 6313606695. The mailing address for Bridge Counseling Center Inc is Po Box 286, Smithtown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bridge Counseling Center Inc |
|---|---|
| Address | Po Box 286, Smithtown, New York |
| Phone Number | 6313606695 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Raia F Lisa |
| Credentials | LCSW-R |
| Telephone Number | 6313606695 |
NPI Number Detail
| NPI Number | 1609812130 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2021-07-20 |
Provider Mailing Address Detail
| Address | Po Box 286 |
|---|---|
| City | Smithtown |
| State | New York (NY) |
| Post Code | 117870286 |
| Phone Number | 6313606695 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 075024-1 |
|
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6020754230 | NY | -- |
Post Comment/ Review Below
What is the Bridge Counseling Center Inc's 1609812130?
The Bridge Counseling Center Inc's NPI (National Provider Identifier) Number is 1609812130. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Bridge Counseling Center Inc located?
The Bridge Counseling Center Inc is located at Po Box 286, Smithtown, NY 117870286.
What is the Bridge Counseling Center Inc's specialty and taxonomy code?
The Bridge Counseling Center Inc's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1609812130 to Bridge Counseling Center Inc?
The Bridge Counseling Center Inc received its 1609812130 assignment from the Centers for Medicare & Medicaid Services on 2006-06-22.
As of what date were the Bridge Counseling Center Inc's details last updated?
The information pertaining to the Bridge Counseling Center Inc, including its address, specialty, and other details, was most recently updated on 2021-07-20.
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