Austin James Bridges, LMSW
Individual provider Active NPI Social Worker · Mountain Home, TN
NPI 1114668258 · NPPES record last updated Apr 5, 2022
Key facts
- NPI
- 1114668258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- LSW0000013188 (TN)
- Practice address
- Corner of Lamont & Veterans Way
Mountain Home, TN 37684 - Phone
- (423) 926-1171
- NPI assigned
- Apr 5, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW0000013188 | TN | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW0000013188 | TN | Yes |
Addresses
Primary practice location
Corner of Lamont & Veterans Way
Mountain Home, TN 37684
Mailing address
1008 Quality Cir Apt 46
Johnson City, TN 37615-4910
Phone (423) 741-7579
Other providers in Mountain Home, TN
- Tyra Dawn Boyd
- Sherry Jo Brandt
- Madison Brashear
- Mary Frances Bray
- Mitzi Breuninger
- James Timothy Bridges
- Candice Nicole Bright
- Lori Jean Brooks
- Madison Jane Brotze
- Earl Joseph Brown
All providers in Mountain Home, TN · Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.