Jaime Lynn Bridges, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15126 Issued in FL

Practice address

1216 E Concord St
Orlando, FL 32803-5453

Phone

(321) 956-0196

NPI assigned

Feb 22, 2018

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

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.

• Counseling Professional of Orlando, LLC

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1811364193
  NPD (past)

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1497256804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 E CONCORD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035453",
            "telephone_number": "321-956-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 E CONCORD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035453",
            "telephone_number": "321-956-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "JAIME",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "15126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridges Community Support Services
• Bridges Community Support Services, Inc
• Bridges Community Support Services, Inc
• Bridges International
• Bridges International Centers for Recovery and Reentry, Inc.
• Kiana Bridges
• Renae B Bridges, APRN
• Sarah Elizabeth Bridges, AU.D.
• Bridgewater Emergency Physicians, LLC
• Bridgeway Alf Corp.

• Clinical Social Worker in Orlando, FL
• Providers in Orlando, 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 Feb 22, 2018; 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.