Bridget Davey, LCSW LLC
Organization Active NPI Community/Behavioral Health Agency · Cheshire, CT
NPI 1285129692 · NPPES record last updated Jun 27, 2018
Key facts
- NPI
- 1285129692
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 002705 (CT)
- Legal business name
- BRIDGET DAVEY, LCSW LLC
- Practice address
- 46 Green Hill LN
Cheshire, CT 06410-3623 - Phone
- (203) 430-8290
- NPI assigned
- Jun 27, 2018
- Organization subpart
- No
Authorized official
- Name
- Bridget Davey, LCSW
- Title
- Clinical Social Worker
- Phone
- (203) 430-8290
Practitioners 2
-
Bridget M. Davey, LCSW
-
Laura Baird, PSYD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190430001406 | CT | Part B Supplier - Clinic/Group Practice | 9234471970 |
Receives reassigned benefits from 1 practitioner Practice locations: Middletown, CT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 002705 | CT | Yes |
Addresses
Primary practice location
46 Green Hill LN
Cheshire, CT 06410-3623
Mailing address
46 Green Hill LN
Cheshire, CT 06410-3623
Other providers in Cheshire, CT
- Shannon Bradley
- Linda Bradshaw
- Chelsea Bradway
- Galina Braylyan
- Abigail Brewerton
- Bright Futures Wellness Center, LLC
- Patricia Cahill Brines
- Michelle B Broggi
- Deborah L Brom
- Kailee Anne Brown
All providers in Cheshire, CT · Community/Behavioral Health Agency in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.