Individual provider Active NPI

Sheila Ann Bridges-Woods, LCSW

  • Clinical Social Worker
  • Long Island City, NY
National Provider Identifier
1003198094
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006909 Issued in CT
Practice address
4720 Center Blvd Apt 325
Long Island City, NY 11109-5663
Phone
(860) 770-8640
Fax
(860) 780-1103
NPI assigned
Sep 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 006909 CT Primary

Addresses

Primary practice location

4720 Center Blvd Apt 325
Long Island City, NY 11109-5663

Mailing address

4720 Center Blvd Apt 325
Long Island City, NY 11109-5663
Phone (860) 770-8640

Other identifiers 1

IdentifierTypeStateIssuer
008046009MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260406003586 VT Practitioner - Clinical Social Worker 5698906337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006909CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Psychological Services LLC CurrentSince Jul 27, 2019 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Apr 17, 2024 Accepting new patients

Locations

46 Stony Hill Rd
Bethel, CT 06801
Phone (203) 207-4100

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

55 Grand St
New Britain, CT 06052
Phone (845) 459-5767

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1003198094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 CENTER BLVD APT 325",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111095663",
            "telephone_number": "860-770-8640",
            "fax_number": "860-780-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 CENTER BLVD APT 325",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111095663",
            "telephone_number": "860-770-8640",
            "fax_number": "860-780-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES-WOODS",
        "first_name": "SHEILA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008046009",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.