Bridgette Alexandra Maurino, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3004 King James Ave
Saint Charles, IL 60174-7832

Phone

(630) 715-5593

NPI assigned

May 31, 2016

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Calming Corner Therapy

  • Clinical Social Worker
  • Saint Charles, IL
  • NPI 1851970578
  NPD Authorized official
• Dekalb Behavioral Health Foundation, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dekalb, IL
  • NPI 1255703450
  NPD
• Dekalb Behavioral Health Foundation, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Sandwich, IL
  • NPI 1487015194
  NPD
• Dekalb Behavioral Health Foundation, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dekalb, IL
  • NPI 1659868859
  NPD

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616803200000",
    "number": "1063860054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 KING JAMES AVE",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601747832",
            "telephone_number": "630-715-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 KING JAMES AVE",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601747832",
            "telephone_number": "630-715-5593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1845 Grandstand Place",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601234983",
            "country_code": "US",
            "telephone_number": "847-695-0484 x1929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAURINO",
        "first_name": "BRIDGETTE",
        "middle_name": "ALEXANDRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2021-03-27",
        "certification_date": "2021-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryar Masud, D.C.
• Sydney Mata
• Jennifer J Mathew, D.O.
• Lauren Danae Matovu, MSW, LCSW
• Janna Matthis, SOCIAL WORKER
• Thomas Joseph Maurovich, DDS
• Melissa Elaine Mauthe, MSW, LCSW
• Brent Maxwell, D.C.
• Kylie Kathleen Maynard
• John Mazzocco, DDS

• Clinical Social Worker in Saint Charles, IL
• Providers in Saint Charles, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.