Kimberly Bridgman LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KIMBERLY BRIDGMAN LCSW

Practice address

15 Stuart Dr
East Berlin, PA 17316-9210

Phone

(717) 676-0544

NPI assigned

Oct 6, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Gaye Wentzel

Title

Office Manager

Phone

(717) 676-0544

Specialties & licenses 1

Addresses

Other names 1

• catalyst mental health 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.

• Catherine Wrightstone, LSW

  • Clinical Social Worker
  • Harrisburg, PA
  • NPI 1215440896
  NPD (past)

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1144730979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 STUART DR",
            "city": "EAST BERLIN",
            "state": "PA",
            "postal_code": "173169210",
            "telephone_number": "717-676-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 STUART DR",
            "city": "EAST BERLIN",
            "state": "PA",
            "postal_code": "173169210",
            "telephone_number": "717-676-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY BRIDGMAN LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "WENTZEL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "GAYE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-676-0544",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "catalyst mental health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "catalyst mental health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wynne Ann Hoffacker, M.D.
• Ashley M Hoffman
• Jeffrey Klare Holdren, RPH
• Homestead Family Therapy LLC
• Inspire Health and Education
• John William Klopfer Jr., D.D.S.
• Shannon Kuhn, PA-C
• Lake Meade Fire & Rescue Inc
• Tracy Lee
• Theodore Marines, PHARMD

• Clinical Social Worker in East Berlin, PA
• Providers in East Berlin, 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 Jun 24, 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.