Bridging Legacies

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BRIDGING LEGACIES

Practice address

125 Killis Blvd
Richlands, NC 28574-6397

Phone

(910) 467-6645

NPI assigned

Sep 22, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Tiara Hedgepeth

Title

Director

Phone

(910) 467-6645

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506038400000",
    "number": "1386153286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 KILLIS BLVD",
            "city": "RICHLANDS",
            "state": "NC",
            "postal_code": "285746397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 KILLIS BLVD",
            "city": "RICHLANDS",
            "state": "NC",
            "postal_code": "285746397",
            "telephone_number": "910-467-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGING LEGACIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-22",
        "last_updated": "2017-09-22",
        "status": "A",
        "authorized_official_last_name": "HEDGEPETH",
        "authorized_official_first_name": "TIARA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-467-6645",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine M Beatty, PT, DPT
• Benevolence Home Healthcare LLC
• Alexandria Blymire
• Tesheika Navoy Boomer, FNP, PMHNP
• Anna Gibbs Brand, LCMHCA
• Jennifer Gwynn Brock, MSW, LCSW
• Amylee Brooks, PA-C
• BSD Chiro
• BSD Chiropractic Richlands PLLC
• Mary E Bundle, PAC

• Clinical Social Worker in Richlands, NC
• Providers in Richlands, 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 Sep 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.