Bridge of Love II LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BRIDGE OF LOVE II LLC

Doing business as

Bridge of Love II LLC

Practice address

331 Margate Rd
Upper Darby, PA 19082-4613

Phone

(484) 424-6629

NPI assigned

Jan 22, 2018

Last updated

Feb 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bridgette Montgomery, DSW MSW LCSW MSNPMNPI 1417343021

Title

Owner/Therapist

Phone

(267) 206-8762

Specialties & licenses 1

Addresses

Other names 1

• Bridge of Love II LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bridgette Montgomery, DSW MSWVLCSW MSNPM

  • Clinical Social Worker
  • Upper Darby, PA
  • NPI 1417343021
  Medicare reassignment Authorized official
• Reginald Combs Harris, MSW, LCSW

  • Clinical Social Worker
  • Upper Chichester, PA
  • NPI 1336987536
  NPD (past)
• Tineya Jane Cotte, LCSW

  • Clinical Social Worker
  • Newtown Square, PA
  • NPI 1033888029
  NPD (past)

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1427566645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CAMPUS BLVD STE 100",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733240",
            "telephone_number": "484-423-3426",
            "fax_number": "484-423-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 MARGATE RD",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190824613",
            "telephone_number": "484-424-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE OF LOVE II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "BRIDGETTE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "267-206-8762",
        "authorized_official_credential": "DSW MSW LCSW MSNPM"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridge of Love II LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sreeranjini Binu, RN
• Bio-Medical Applications of Pennsylvania, Inc. (Fresenius Medical Care of Delco)
• Christine Bishop-Edkins, MSS, LSW
• Bliss@Home LLC
• Mwalimu Steve Boley, LBSC
• Bright Choice Dental Group LP
• Bright Mind Behavioral LLC
• Jeffrey Alan Brooks, O.D.
• Thomas Michael Broomall, D.C.
• Donovan R Brown, D.C

• Clinical Social Worker in Upper Darby, PA
• Providers in Upper Darby, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.