Active NPI
Bridge Therapeutic Services LLC
- Clinical Social Worker
- Norfolk, VA
National Provider Identifier
1154207157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BRIDGE THERAPEUTIC SERVICES LLC
- Practice address
- 1519 Eagle Ave
Norfolk, VA 23518-2931 - Phone
- (757) 777-3787
- NPI assigned
- Aug 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frances Gibbs
- Title
- Admin/Credentialing Specialist
- Phone
- (757) 354-4517
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1519 Eagle Ave
Norfolk, VA 23518-2931
Mailing address
999 Waterside Dr Ste 2525
Norfolk, VA 23510-3316
Phone (757) 777-3787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Norfolk, VA
- NPI 1346002052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755129600000",
"number": "1154207157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 WATERSIDE DR STE 2525",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235103316",
"telephone_number": "757-777-3787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 EAGLE AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235182931",
"telephone_number": "757-777-3787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGE THERAPEUTIC SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-14",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A",
"authorized_official_last_name": "GIBBS",
"authorized_official_first_name": "FRANCES",
"authorized_official_title_or_position": "ADMIN/CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "757-354-4517"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.