Julian Michael Bridges in Winston Salem - Clinical

Julian Michael Bridges - NPI 1699863050

Julian Michael Bridges is a Clinical in Winston Salem, North Carolina. Julian Michael Bridges practices all healthcare services and medical treatments related to Clinical. The NPI Number for Julian Michael Bridges is 1699863050. The last update date is 2007-10-04.

Julian Michael Bridges's current location address is 1001 Reynolda Rd, Winston Salem, North Carolina. You can contact this provider via phone number 3367217657 and fax number 3367284355. The mailing address for Julian Michael Bridges is 1001 Reynolda Rd, Winston Salem, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Julian Michael Bridges
Address 1001 Reynolda Rd, Winston Salem, North Carolina
Phone Number 3367217657
Fax Number 3367284355
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1699863050
Provider Enumeration Date 2006-10-11
Last Updated Date 2007-10-04

Provider Mailing Address Detail

Address 1001 Reynolda Rd
City Winston Salem
State North Carolina (NC)
Post Code 271043245
Phone Number 3367217657
Fax Number 3367284355

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No C005454
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6106473 NC --

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FAQs about Julian Michael Bridges

What is the unique 10-digit identification code assigned to Julian Michael Bridges by the Centers for Medicare & Medicaid Services?

The Julian Michael Bridges has been issued the NPI (National Provider Identifier) 1699863050, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Julian Michael Bridges is geographically located?

The Julian Michael Bridges is physically situated at the following location: 1001 Reynolda Rd, Winston Salem, NC, 271043245.

What is Julian Michael Bridges's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Julian Michael Bridges is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

On what date was the 1699863050 assigned to Julian Michael Bridges?

The Julian Michael Bridges was issued its 1699863050 on 2006-10-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Julian Michael Bridges, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Julian Michael Bridges, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-04.

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