A Healing Journey Counseling & Consultation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004483 Issued in GA

Legal business name

A HEALING JOURNEY COUNSELING & CONSULTATION

Practice address

109 Central Ave
Cartersville, GA 30120-3905

Phone

(770) 983-4444

Fax

(770) 383-8930

NPI assigned

Nov 28, 2011

Organization subpart

No

Name

Ms. Pamela A Bridgeman, LCSWNPI 1336372424

Title

Therapist/Ceo

Phone

(770) 983-4444

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Anita Bridgeman, LCSW

  • Clinical Social Worker
  • Cartersville, GA
  • NPI 1336372424

  Clinical, GA

  Medicare reassignment NPD Authorized official
• Christopher Kyle Green, LMSW

  • Social Worker
  • Cartersville, GA
  • NPI 1639765217
  NPD (past)
• Maria Cristina Moncayo Gilstrap

  • Professional Counselor
  • Cartersville, GA
  • NPI 1821565433
  NPD (past)
• Tyree Bernard Reeves, MSW

  • Social Worker
  • Cartersville, GA
  • NPI 1073121612
  NPD (past)
• Jordan T Williams

  • Social Worker
  • Cartersville, GA
  • NPI 1750137097
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in GA

Locations

• Pamela A. Bridgeman Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 28, 2011.

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1598032146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2603",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301201694",
            "telephone_number": "770-983-4444",
            "fax_number": "770-334-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CENTRAL AVE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203905",
            "telephone_number": "770-983-4444",
            "fax_number": "770-383-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A HEALING JOURNEY COUNSELING & CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "BRIDGEMAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "THERAPIST/CEO",
        "authorized_official_telephone_number": "770-983-4444",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pamela A. Bridgeman",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Cartersville, GA
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.