Bridgett Bollin, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017443 Issued in PA

Practice address

100 S Broad St Ste 1515
Philadelphia, PA 19110-1006

Phone

(267) 603-3022

Fax

(267) 214-0050

NPI assigned

Oct 6, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emerge Counseling PLLC

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1679033443
  Authorized official Same address or phone

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1457660599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S BROAD ST STE 1515",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191101006",
            "telephone_number": "267-603-3022",
            "fax_number": "267-214-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BROAD ST STE 1515",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191101006",
            "telephone_number": "267-603-3022",
            "fax_number": "267-214-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLIN",
        "first_name": "BRIDGETT",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Bolivar Wagers, MD/PHD
• Marie D Bolivar-Cano, DNP, ACNP-BC, CEN
• Anna Elizabeth Bollag, DMD, MS
• Lauren Bollenback, DMD
• Kassie Jean Bollig, MD
• Christopher Bollinger, OTR/L
• Emily Elizabeth Bollinger
• Richard A Bollinger, PHD
• Sharon Bollini
• Hilary Bollman, M.D.

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, 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 Aug 9, 2019; 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.