Bridget Louise Mixon, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18001 Issued in MD

Practice address

22776 Three Notch Rd Ste 102
Lexington Park, MD 20653-3369

Phone

(301) 880-4833

Fax

(301) 760-3472

NPI assigned

Sep 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Ann Cassetta, MPT, GTS, LLC

  • Physical Therapy Clinic/Center
  • Lexington Park, MD
  • NPI 1972180479
  NPD (past)
• Pax River Counseling, LLC

  • Clinical Social Worker
  • Lexington Park, MD
  • NPI 1063827756
  NPD (past)

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

{
    "created_epoch": "1536364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536364800000",
    "number": "1740763531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11725 LONG SHADOW LN",
            "city": "LUSBY",
            "state": "MD",
            "postal_code": "206572421",
            "telephone_number": "410-960-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22776 THREE NOTCH RD STE 102",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206533369",
            "telephone_number": "301-880-4833",
            "fax_number": "301-760-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIXON",
        "first_name": "BRIDGET",
        "middle_name": "LOUISE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-08",
        "last_updated": "2018-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF SOCIAL WORK EXAMINERS",
            "identifier": "18001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medstar Health Weight Management, LLC
• Medstar Medical Group II LLC
• Medstar Urgent Care LLC
• Medstar Urgent Care LLC
• Medstar Urgent Care LLC
• Kareema K Mohomed, D.M.D.
• Julie L Morgan, LCPC
• Shannon Dawn Morley, FNP-C
• Jayleigh Christine Mosterd
• Phyllis Dayle Muir, RPH

• Clinical Social Worker in Lexington Park, MD
• Providers in Lexington Park, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.