Community Bridge Counseling and Outreach Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COMMUNITY BRIDGE COUNSELING AND OUTREACH SERVICES, LLC

Practice address

1300 3Rd St SW
PMB# 174
Winter Haven, FL 33880

Phone

(904) 420-0461

NPI assigned

Jul 28, 2025

Last updated

Jul 28, 2025By 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

Lyndal Edwin Bedford, LCSWNPI 1851046197

Title

Ceo/Founder/Clinical Director

Phone

(404) 434-3528

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Lyndal Edwin Bedford, MSW

  • Clinical Social Worker
  • Lakeland, FL
  • NPI 1851046197
  Authorized official Same address or phone

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1477436533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 LANDINGS WAY APT 9C",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338805327",
            "telephone_number": "404-434-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 3RD ST SW",
            "address_2": "PMB# 174",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33880",
            "telephone_number": "904-420-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BRIDGE COUNSELING AND OUTREACH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "BEDFORD",
        "authorized_official_first_name": "LYNDAL",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "CEO/FOUNDER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "404-434-3528",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.