Active NPI
Bridgett Wright, LICSW
- Clinical Social Worker
- Birmingham, AL
National Provider Identifier
1548925563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4094C
- Practice address
- 619 19TH St S Ste Jt1120
Birmingham, AL 35249-1900 - Phone
- (205) 975-5691
- NPI assigned
- Nov 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4094C | AL | Primary |
Addresses
Primary practice location
619 19TH St S Ste Jt1120
Birmingham, AL 35249-1900
Mailing address
2310 Chadwick Dr
Moody, AL 35004-3295
Phone (125) 622-5922
Other practice location 1
1229 3rd Ave N
Birmingham, AL 35203-1628
Phone (205) 635-3250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 18, 2023 through Dec 18, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4094C | AL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1548925563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 CHADWICK DR",
"city": "MOODY",
"state": "AL",
"postal_code": "350043295",
"telephone_number": "125-622-5922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 19TH ST S STE JT1120",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352491900",
"telephone_number": "205-975-5691"
}
],
"practiceLocations": [
{
"address_1": "1229 3rd Ave N",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352031628",
"country_code": "US",
"telephone_number": "205-635-3250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WRIGHT",
"first_name": "BRIDGETT",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-04",
"last_updated": "2021-11-08",
"certification_date": "2021-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "4094C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.