NPIMap

Organization Active NPI

Bridges Counseling Center, LLC

  • Clinical Social Worker
  • Pawtucket, RI
National Provider Identifier
1467520734
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW 00353 Issued in RI
Legal business name
BRIDGES COUNSELING CENTER, LLC
Practice address
100 Lafayette St
Suite 305
Pawtucket, RI 02860-6008
Phone
(401) 722-9091
Fax
(401) 722-5451
NPI assigned
Dec 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jane Mary Willis, LICSWNPI 1568530830
Title
Partner
Phone
(401) 722-9091

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X ISW 00353 RI Primary

Addresses

Primary practice location

100 Lafayette St
Suite 305
Pawtucket, RI 02860-6008

Mailing address

100 Lafayette St
Suite 305
Pawtucket, RI 02860-6008
Phone (401) 722-9091

National Provider Directory

National Provider Directory

Locations

100 Lafayette St
Ste 305
Pawtucket, RI 02860
Phone (401) 351-5633

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467520734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAFAYETTE ST",
            "address_2": "SUITE 305",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606008",
            "telephone_number": "401-722-9091",
            "fax_number": "401-722-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAFAYETTE ST",
            "address_2": "SUITE 305",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606008",
            "telephone_number": "401-722-9091",
            "fax_number": "401-722-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "401-722-9091",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW 00353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.