Teresa Lysha Bridges, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW22617 Issued in FL

Practice address

8400 NW 36TH St
Coral Springs, FL 33065-4503

Phone

(786) 488-7233

NPI assigned

Mar 29, 2024

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1093566705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 N UNIVERSITY DR # 5308",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716134",
            "telephone_number": "786-488-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 NW 36TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654503",
            "telephone_number": "786-488-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "TERESA",
        "middle_name": "LYSHA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW22617",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breakthrough ABA Therapy LLC
• Ray Mond Joseph Breitwieser Jr., RNFA
• Sharon Jean Brellis, RN
• Irene Brenner, MSPT
• Carla Daniela Brenni
• Lydia Bridgewater
• Alexandria Briganty
• Dianne Marie Briggs
• Bright Horizons of Coral Springs, Inc.
• Bright Horizons of Greenwood, Inc.

• Clinical Social Worker in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.