Organization Active NPI

Bridged Therapy for Seniors

  • Clinical Social Worker
  • Howell Township, NJ
National Provider Identifier
1356110647
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BRIDGED THERAPY FOR SENIORS
Practice address
9 North Durham Drive
Howell Township, NJ 07731
Phone
(818) 900-3957
NPI assigned
Dec 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Rivka Gerson, LCSWNPI 1730953258
Title
Owner
Phone
(818) 900-3957

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9 North Durham Drive
Howell Township, NJ 07731

Mailing address

9 North Durham Drive
Howell Township, NJ 07731
Phone (818) 900-3957

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240226001744 NJ Part B Supplier - Clinic/Group Practice 1153766589 Receives reassigned benefits from 1 practitioner
Practice locations: Howell, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1356110647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 NORTH DURHAM DRIVE",
            "city": "HOWELL TOWNSHIP",
            "state": "NJ",
            "postal_code": "07731",
            "telephone_number": "818-900-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 NORTH DURHAM DRIVE",
            "city": "HOWELL TOWNSHIP",
            "state": "NJ",
            "postal_code": "07731",
            "telephone_number": "818-900-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGED THERAPY FOR SENIORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "GERSON",
        "authorized_official_first_name": "RIVKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-900-3957",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.