Bridges Family Based Addiction Treatment LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017842 Issued in PA

Legal business name

BRIDGES FAMILY BASED ADDICTION TREATMENT LLC

Practice address

403 Laurel Dr
MC Murray, PA 15317-3219

Phone

(724) 986-1538

NPI assigned

Apr 23, 2014

Organization subpart

No

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

Authorized official

Name

Paula J Siers-Burns, LCSW

Title

Owner/LCSW

Phone

(724) 986-1538

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1124448691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 LAUREL DR",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173219",
            "telephone_number": "724-986-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 LAUREL DR",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173219",
            "telephone_number": "724-986-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES FAMILY BASED ADDICTION TREATMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "SIERS-BURNS",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "724-986-1538",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayna Bonfini, LPC
• Megan Bordone, PHARMD
• Emily Bova, OTR-L
• Sharon Braswell Bovalina, LPC
• Beth A Breiding, M.S., CCC/SLP
• Brock Ventures
• Rueben Brock, LPC
• Ida Brockman, MD
• Kevin Brogley
• Stephanie Shaw Brown, MD

• Clinical Social Worker in MC Murray, PA
• Providers in MC Murray, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.