Bridges Alcohol and Drug Rehabilitation Centers

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904001834 Issued in VA

Legal business name

BRIDGES ALCOHOL AND DRUG REHABILITATION CENTERS

Doing business as

New Bridges

Practice address

3500 Virginia Beach Blvd
Ste 410
Virginia Beach, VA 23452-4445

Phone

(757) 455-8283

Fax

(757) 486-1094

NPI assigned

Apr 1, 2007

Last updated

Aug 22, 2020By 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

Mr. Donald L. Costigan, LCSW

Title

President

Phone

(757) 455-8283

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• New Bridges Doing business as

Locations

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

{
    "created_epoch": "1175385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518087477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 VIRGINIA BEACH BLVD",
            "address_2": "STE 410",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524445",
            "telephone_number": "757-455-8283",
            "fax_number": "757-486-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 VIRGINIA BEACH BLVD",
            "address_2": "STE 410",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524445",
            "telephone_number": "757-455-8283",
            "fax_number": "757-486-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES ALCOHOL AND DRUG REHABILITATION CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COSTIGAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-455-8283",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911738",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Bridges",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fredric Harvey Bricka, LCSW
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• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Social Worker in Virginia

• 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.