Individual provider Active NPI

Bridgette Alexander-Johnson, CDP, LSWAIC

  • Clinical Social Worker
  • Lakewood, WA
National Provider Identifier
1265847370
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
9307 74TH St SW
Lakewood, WA 98498-3992
Phone
(206) 393-2273
NPI assigned
Jun 26, 2014
Last updated
Feb 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP 60277555 WA
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

9307 74TH St SW
Lakewood, WA 98498-3992

Mailing address

PO Box 98183
Lakewood, WA 98496-8183
Phone (206) 393-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CP 60277555WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bima Therapeutic Services Addiction (Substance Use Disorder) Current Accepting new patients
Bima Services Current Accepting new patients
Bima Services Clinical Current Accepting new patients
Pioneer Counseling Tacoma Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1265847370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98183",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984968183",
            "telephone_number": "206-393-2273",
            "fax_number": "253-302-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9307 74TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984983992",
            "telephone_number": "206-393-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER-JOHNSON",
        "first_name": "BRIDGETTE",
        "name_prefix": "Ms.",
        "credential": "CDP, LSWAIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP 60277555",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.