Kristan Leslie Bridges, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

112328-01 Issued in NY

Practice address

20 Squadron Blvd Ste 550
New City, NY 10956-5272

Phone

(917) 597-9270

NPI assigned

Apr 5, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1407435795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PRIOR CT",
            "city": "PALISADES",
            "state": "NY",
            "postal_code": "109641516",
            "telephone_number": "914-720-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SQUADRON BLVD STE 550",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565272",
            "telephone_number": "917-597-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "KRISTAN",
        "middle_name": "LESLIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "112328-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.inhomelcsw.com",
            "affiliation": "N",
            "address_1": "20 Squadron Blvd Ste 550",
            "city": "New City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109565272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Corinne Brier, R.D.
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• Denise Catherine Brophy
• Kristin Brosnan
• Suzanne Lynn Brown-Berkowitz, M.D.

• Social Worker in New City, NY
• Providers in New City, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.