Bridgette D Herren, LISW, LICDC, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1600705

Practice address

7133 Old Troy Pike
Huber Heights, OH 45424-2658

Phone

(937) 301-5549

Fax

(937) 723-9095

NPI assigned

Aug 29, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Divine Comfort and Counseling LLC

  • Community/Behavioral Health Agency
  • Huber Heights, OH
  • NPI 1215394853
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644624000000",
    "number": "1023367679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5818 WILMINGTON PIKE",
            "address_2": "PMB 207",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454597004",
            "telephone_number": "937-301-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7133 OLD TROY PIKE",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454242658",
            "telephone_number": "937-301-5549",
            "fax_number": "937-723-9095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Elizabeth Pl",
            "address_2": "SEB - 1040",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454173445",
            "country_code": "US",
            "telephone_number": "937-301-5549",
            "fax_number": "937-723-9095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERREN",
        "first_name": "BRIDGETTE",
        "middle_name": "D",
        "credential": "LISW, LICDC, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2022-02-12",
        "certification_date": "2022-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "ICDC.141066",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "I.1600705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rickita Lynn Heisle, RN
• Christina Helmer
• Christopher Lee Henry Sr., CPRS
• Nathan Andrew Herbert, LPN
• Amanda Rose Heredia, BSW, LSW
• Lauren Hess, PT, DPT
• Elise L Hickernell, PT, ATC
• Judith Hicks, OTR
• Brittany D High
• Timothy M Hilty, MD

• Clinical Social Worker in Huber Heights, OH
• Providers in Huber Heights, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.