Active NPI
Elaine Hope Bridge
- Clinical Social Worker
- Santa Monica, CA
National Provider Identifier
1184718934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW16214
- Practice address
- 2730 Wilshire Blvd
#544
Santa Monica, CA 90403 - Phone
- (310) 315-3011
- Fax
- (818) 996-9652
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW16214 | CA | Primary |
Addresses
Primary practice location
2730 Wilshire Blvd
#544
Santa Monica, CA 90403
Mailing address
2730 Wilshire Blvd
#544
Santa Monica, CA 90403
Phone (310) 315-3011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100827000929 | CA | Practitioner - Clinical Social Worker | 7517081565 | Practice locations: Tarzana, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Tarzana, CA 91356
Phone (818) 783-7223
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16214 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| LCSW16214 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184718934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 WILSHIRE BLVD",
"address_2": "#544",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90403",
"telephone_number": "310-315-3011",
"fax_number": "818-996-9652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 WILSHIRE BLVD",
"address_2": "#544",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90403",
"telephone_number": "310-315-3011",
"fax_number": "818-996-9652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGE",
"first_name": "ELAINE",
"middle_name": "HOPE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW16214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
- Rachel Ellen Bressler Deese, RN, MN
- Philip Michael Bretsky, MD, PHD
- Heather Brewer, MA
- Jessica Lin Brewer, P.A.
- Brian R. Gantwerker, M.D., a Medical Corporation (The Craniospinal Center of Los Angeles)
- Bridges to Recovery II LLC
- Alec Bridges, LAC
- Deborah Marie Briem, LMFT
- Bright Dental Corp
- Ana Brightleaf, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.