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BRIDGE COUNSELING AND THERAPY CENTER LLC NPI 1073616678


NPI Information

NPI: 1073616678
Provider Name: BRIDGE COUNSELING AND THERAPY CENTER, LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
32 BRIDGEVILLE RD
GEORGETOWN, DE
ZIP 19947
Phone: (302) 856-9190
Get Directions

BRIDGE COUNSELING AND THERAPY CENTER, LLC is a clinical social worker in Georgetown, DE. The provider is 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. BRIDGE COUNSELING AND THERAPY CENTER, LLC NPI is 1073616678. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

32 BRIDGEVILLE RD
GEORGETOWN, DE
ZIP 19947-106
Phone: (302) 856-9190
Fax: (302) 856-9133

The provider's authorized official is Joel A Vanini .
The authorized official title is Director and has the following contact phone number (302) 856-9190.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 11/4/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalQ100000281DELAWAREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11000032299MEDICAIDDELAWARE
2G00811MEDICARE PINDELAWARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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