Bridging the Gap Behavioral Health PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BRIDGING THE GAP BEHAVIORAL HEALTH PLLC

Doing business as

Bridging The Gap Behavioral Health pllc

Practice address

3040 4TH Ave S Ste 102
Minneapolis, MN 55408-2409

Phone

(612) 236-7980

Fax

(651) 289-3663

NPI assigned

Apr 28, 2021

Organization subpart

No

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

Authorized official

Name

Lul Abdirahman Haji-Mohamed, MSW, LICSWNPI 1235726712

Title

Founder/Therapist

Phone

(612) 236-7980

Specialties & licenses 1

Addresses

Other names 1

• Bridging The Gap Behavioral Health pllc Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lul Abdirahman Haji-Mohamed, MSW, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1235726712
  NPD Authorized official

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1033792064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 4TH AVE S STE 102",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082409",
            "telephone_number": "612-236-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 4TH AVE S STE 102",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082409",
            "telephone_number": "612-236-7980",
            "fax_number": "651-289-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING THE GAP BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "HAJI-MOHAMED",
        "authorized_official_first_name": "LUL",
        "authorized_official_middle_name": "ABDIRAHMAN",
        "authorized_official_title_or_position": "FOUNDER/THERAPIST",
        "authorized_official_telephone_number": "612-236-7980",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridging The Gap Behavioral Health pllc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridgeway Behavioral Health
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• Bridgeway Home Healthcare Ser
• Bridgeway Therapeutic Services Inc
• Bridgeway Therapeutics Inc
• Rah Bridwell
• Steven M Brielmaier, MSPT
• Julie Jocelyn Anne Brieschke, DOULA
• Thomas Briese, MD
• Braden Lucas Briggs, PHARMD

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.