Individual provider Active NPI

Jenny Bridges, LCSW, ACSW, CEAP

  • Clinical Social Worker
  • Lakewood, CO
National Provider Identifier
1033308143
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
989009 Issued in CO
Practice address
7400 W 14TH Ave Ste 6
Lakewood, CO 80214-4234
Phone
(720) 350-1109
Fax
(720) 350-1109
NPI assigned
Oct 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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 989009 CO Primary

Addresses

Primary practice location

7400 W 14TH Ave Ste 6
Lakewood, CO 80214-4234

Mailing address

PO Box 260495
Lakewood, CO 80226-0495
Phone (720) 350-1109

Other identifiers 1

IdentifierTypeStateIssuer
000229OtherCEAP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Psychotherapy, Inc. CurrentSince Jul 24, 2022 Accepting new patients

Locations

7400 W 14th Ave
Ste 6
Lakewood, CO 80214
Phone (720) 272-5127

Organizations & group practices 1

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": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1033308143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260495",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802260495",
            "telephone_number": "720-350-1109",
            "fax_number": "720-524-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 W 14TH AVE STE 6",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802144234",
            "telephone_number": "720-350-1109",
            "fax_number": "720-350-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "JENNY",
        "name_prefix": "Ms.",
        "credential": "LCSW, ACSW, CEAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "989009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CEAP",
            "identifier": "000229",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.