Keven S Bridge in Southampton - Clinical

Keven S Bridge - NPI 1386764488

Keven S Bridge is a Clinical in Southampton, New York. Keven S Bridge practices all healthcare services and medical treatments related to Clinical. The NPI Number for Keven S Bridge is 1386764488. The last update date is 2007-08-18.

Keven S Bridge's current location address is 137 Hampton Rd, Southampton, New York. You can contact this provider via phone number 6312873114 and fax number 6312874316. The mailing address for Keven S Bridge is 137 Hampton Rd, Southampton, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Keven S Bridge
Address 137 Hampton Rd, Southampton, New York
Phone Number 6312873114
Fax Number 6312874316
Sole Proprietor Y
Credentials MSW

NPI Number Detail

NPI Number 1386764488
Provider Enumeration Date 2007-03-30
Last Updated Date 2007-08-18

Provider Mailing Address Detail

Address 137 Hampton Rd
City Southampton
State New York (NY)
Post Code 119684923
Phone Number 6312873114
Fax Number 6312874316

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No RO24115-1
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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FAQs about Keven S Bridge

What is the unique provider identifier assigned to Keven S Bridge?

The Keven S Bridge has been issued the NPI (National Provider Identifier) 1386764488 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Keven S Bridge is geographically located?

The Keven S Bridge is physically situated at the following location: 137 Hampton Rd, Southampton, NY, 119684923.

What is the Keven S Bridge's specialty and taxonomy code?

The Keven S Bridge's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

When was the Keven S Bridge's 1386764488 issued?

The Keven S Bridge's 1386764488 was issued on 2007-03-30.

As of what date was the information pertaining to Keven S Bridge, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Keven S Bridge, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-08-18.

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