Bridgetree Counseling & Consultation, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC5455 Issued in ME

Legal business name

BRIDGETREE COUNSELING & CONSULTATION, INC

Practice address

34 McKeen St
Brunswick, ME 04011-3039

Phone

(207) 720-0558

NPI assigned

Aug 19, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Geoffry Bertram Smith, MSW

Title

President

Phone

(207) 720-0558

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Clark Vilas, PH.D.

  • Psychologist
  • Brunswick, ME
  • NPI 1629198668
  NPD (past)

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1225583255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MCKEEN ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113039",
            "telephone_number": "207-720-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MCKEEN ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113039",
            "telephone_number": "207-720-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGETREE COUNSELING & CONSULTATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GEOFFRY",
        "authorized_official_middle_name": "BERTRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-720-0558",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC5455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buffie Breed, OT/L
• Avery Brennan
• Glenna Claire Brennan, CRNP
• Geoffrey A Brewer, LCSW
• Andrea M Brewster, LCPC
• Jane Briggs, LMSWC
• Justin R Brissette
• Jayne E Britton, NP
• Samuel B Broaddus, MD
• Michelle A. Broderick, O.D.

• Clinical Social Worker in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.