Bridget Ann Balajadia, LCSW93595

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW93595 Issued in CA

Practice address

1660 Mount Oliveira Drive
San Jose, CA 95127

Phone

(408) 256-3361

NPI assigned

Oct 29, 2013

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

Other names 1

• Bridget Ann Stevens Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Gardner Family Health Network, Inc.

  • Community/Behavioral Health Agency
  • San Jose, CA
  • NPI 1699841528
  NPD (past)

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1457789422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 MOUNT OLIVEIRA DRIVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95127",
            "telephone_number": "408-502-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 MOUNT OLIVEIRA DRIVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95127",
            "telephone_number": "408-256-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAJADIA",
        "first_name": "BRIDGET",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW93595",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW93595",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "STEVENS",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jason S. Balaban, MD
• Micaela Balaban
• Nirmala Balachandra, DDS
• Jayepriya Balachandran
• Neha Balachandran
• Amaravathi Balakrishnan, M.D.
• Anupama Balakrishnan, MD
• Hema Balamurugan
• Balance Acupuncture and Health Inc
• Balance Therapy Inc

• Clinical Social Worker in San Jose, CA
• Providers in San Jose, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.