Building a Bridge, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3655C Issued in AL

Legal business name

BUILDING A BRIDGE, LLC

Practice address

101 Medical Dr
Dothan, AL 36303-6903

Phone

(334) 702-7222

Fax

(334) 702-1944

NPI assigned

Jun 2, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Denise Cleveland, LCSW

Title

President

Phone

(334) 702-7222

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1508278136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MEDICAL DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363036903",
            "telephone_number": "334-702-7222",
            "fax_number": "334-702-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEDICAL DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363036903",
            "telephone_number": "334-702-7222",
            "fax_number": "334-702-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING A BRIDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-702-7222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3655C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043519739",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Bryant, MD
• Zachary James Bryant, MD
• Madeline Eidson Buchanan, CRNP
• Lynsey Buckley, NP
• Meredith M Buechner, AT
• Bradford Lee Bullard, LIC PROFESSIONAL COU
• Jessica Bullock, D.C.
• Brooke Hays Bulman, BCBA
• Christopher Blake Bulman
• Sharon J Burch

• Clinical Social Worker in Dothan, AL
• Providers in Dothan, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.