Olivia Diane Bridges

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P016851 Issued in NC

Practice address

905 Halstead Blvd Ste 15
Elizabeth City, NC 27909-6816

Phone

(252) 379-1712

NPI assigned

May 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Deer Oaks Southeast LLC

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1619112612

  NC

  Medicare reassignment NPD
• Family Preservation Services of North Carolina, LLC

  • Community/Behavioral Health Agency
  • Hendersonville, NC
  • NPI 1952537615
  Medicare reassignment
• Pathways Human Services of North Carolina, LLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1992317606
  Medicare reassignment
• Pathways Human Services of North Carolina, LLC

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1033721741

  Clinical

  NPD
• Pathways Human Services of North Carolina, LLC

  • Community/Behavioral Health Agency
  • Wilson, NC
  • NPI 1114531993

  Clinical

  NPD
• Pathways Human Services of North Carolina, LLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1285246991

  Clinical

  NPD
• Pathways Human Services of North Carolina, LLC

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1851903603

  Clinical

  NPD (past)

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1316637440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 HALSTEAD BLVD STE 14-15",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279096986",
            "telephone_number": "252-698-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HALSTEAD BLVD STE 15",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279096816",
            "telephone_number": "252-379-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "OLIVIA",
        "middle_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Brickhouse Brandi, FNP
• Karl Brandspigel, MD
• Michael J Bratton, PA-C
• Dalton Wright Bray, DPT
• Emily Nicole Brewer, LCMHCA
• Bright Outstanding Stars, LLC
• Brianna Bright, RBT
• Rhonda Jones Britton, FNP
• Josette Brookins
• Damaris Amber Brooks

• Clinical Social Worker in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.