Active NPI
Bridget M. Nurock, LCSW
- Clinical Social Worker
- Haverford, PA
National Provider Identifier
1194881995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CWO15607
- Practice address
- 600 Haverford Rd
Suite G104
Haverford, PA 19041-1139 - Phone
- (215) 850-5872
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | CWO15607 | PA | Primary |
Addresses
Primary practice location
600 Haverford Rd
Suite G104
Haverford, PA 19041-1139
Mailing address
101 Cheswold LN
Unit 4H
Haverford, PA 19041-1867
Phone (484) 416-3596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2021 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CWO15607 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292371200000",
"number": "1194881995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CHESWOLD LN",
"address_2": "UNIT 4H",
"city": "HAVERFORD",
"state": "PA",
"postal_code": "190411867",
"telephone_number": "484-416-3596",
"fax_number": "484-416-3596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 HAVERFORD RD",
"address_2": "SUITE G104",
"city": "HAVERFORD",
"state": "PA",
"postal_code": "190411139",
"telephone_number": "215-850-5872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUROCK",
"first_name": "BRIDGET",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2010-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CWO15607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haverford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.