Bridgewater Counseling Services Pc in Bridgewater - Clinical
Bridgewater Counseling Services Pc - NPI 1891959169
Bridgewater Counseling Services Pc is a Clinical in Bridgewater, Virginia. Bridgewater Counseling Services Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bridgewater Counseling Services Pc is 1891959169. The last update date is 2012-12-13.
Bridgewater Counseling Services Pc's current location address is 108 West College Street, Bridgewater, Virginia. You can contact this provider via phone number 5408283663 and fax number 5408282322. The mailing address for Bridgewater Counseling Services Pc is 108 West College Street, Bridgewater, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bridgewater Counseling Services Pc |
|---|---|
| Address | 108 West College Street, Bridgewater, Virginia |
| Phone Number | 5408283663 |
| Fax Number | 5408282322 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mandeville W Scott |
| Credentials | LCSW |
| Telephone Number | 5408283663 |
NPI Number Detail
| NPI Number | 1891959169 |
|---|---|
| Provider Enumeration Date | 2008-07-15 |
| Last Updated Date | 2012-12-13 |
Provider Mailing Address Detail
| Address | 108 West College Street |
|---|---|
| City | Bridgewater |
| State | Virginia (VA) |
| Post Code | 228121124 |
| Phone Number | 5408283663 |
| Fax Number | 5408282322 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 812000382 |
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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 |
|---|---|---|---|
| 1891959169 | VA | -- | |
| 219164 | VA | COM-PSYCH |
Post Comment/ Review Below
What is the unique identification code assigned to Bridgewater Counseling Services Pc by the Centers for Medicare & Medicaid Services?
The Bridgewater Counseling Services Pc has been issued the NPI (National Provider Identifier) 1891959169. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Bridgewater Counseling Services Pc's physical address?
The Bridgewater Counseling Services Pc is physically located at 108 West College Street, in the city of Bridgewater, VA, with the postal code 228121124.
What is Bridgewater Counseling Services Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bridgewater Counseling Services Pc is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
When was the Bridgewater Counseling Services Pc's 1891959169 issued?
The Bridgewater Counseling Services Pc's 1891959169 was issued on 2008-07-15.
When was the information pertaining to Bridgewater Counseling Services Pc most recently updated or revised?
The details related to Bridgewater Counseling Services Pc, including its address, specialty, and other relevant information, were last updated or revised on 2012-12-13.