Organization Active NPI

Bridget Davey, LCSW LLC

  • Community/Behavioral Health Agency
  • Cheshire, CT
National Provider Identifier
1285129692
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
002705 Issued in 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
Last updated
Jun 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Bridget Davey, LCSWNPI 1548598949
Title
Clinical Social Worker
Phone
(203) 430-8290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 002705 CT Primary

Addresses

Primary practice location

46 Green Hill LN
Cheshire, CT 06410-3623

Mailing address

46 Green Hill LN
Cheshire, CT 06410-3623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190430001406 CT Part B Supplier - Clinic/Group Practice 9234471970 Receives reassigned benefits from 1 practitioner
Practice locations: Middletown, CT

National Provider Directory

National Provider Directory

Locations

267 William St
Middletown, CT 06457
Phone (860) 231-2208

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1285129692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 GREEN HILL LN",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 GREEN HILL LN",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103623",
            "telephone_number": "203-430-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGET DAVEY, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "DAVEY",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "203-430-8290",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "002705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.