Active NPI
Bridged Therapy for Seniors
- Clinical Social Worker
- Howell Township, NJ
National Provider Identifier
1356110647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rivka Gerson, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Howell, NJ
- NPI 1730953258
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.