Tiffany Bridges, LCSW-A, LCAS-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PO12239 Issued in NC

Practice address

3717 Latrobe Dr Ste 750
Charlotte, NC 28211-4826

Phone

(980) 288-5486

NPI assigned

Mar 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 3, 2024 through Jun 3, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Counseling and Psychotherapy Center of Greater Boston, Inc.

  • Community/Behavioral Health Agency
  • Needham, MA
  • NPI 1861611592
  NPD (past)

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

{
    "created_epoch": "1552089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581206400000",
    "number": "1427516301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 LATROBE DR STE 750",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 LATROBE DR STE 750",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114826",
            "telephone_number": "980-288-5486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "769 N Wendover Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28211",
            "country_code": "US",
            "telephone_number": "704-376-7180",
            "fax_number": "704-531-9266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "TIFFANY",
        "credential": "LCSW-A, LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-09",
        "last_updated": "2020-02-09",
        "certification_date": "2020-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "PO12239",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-24476",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridges Health and Wellness
• Bridges Therapeutic Services PLLC
• Joyce L Bridges-Lockett, OTR
• Amanda Bridges
• Stephany Annet Bridges
• Virginia A. Bridges
• Rhonda C. Bridget, N.P.
• Bridgeton Solutions
• Shelby Lee Bridgett, DO
• Bridgette L. Lorigan, D.M.D.,P.L.L.C

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, 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 Feb 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.