Julia C Bride, SC61417422

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SC61417422 Issued in WA

Practice address

17609 42ND Avenue CT E
Tacoma, WA 98446-6358

Phone

(253) 431-6725

NPI assigned

Mar 21, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Julia Phillips Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1740982883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17609 42ND AVENUE CT E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984466358",
            "telephone_number": "253-431-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17609 42ND AVENUE CT E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984466358",
            "telephone_number": "253-431-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDE",
        "first_name": "JULIA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "SC61417422",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC61417422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "PHILLIPS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Holly Rebecca Brezynski, ARNP, PMHNP-BC
• Julianne Brian
• December Mary Brickey
• Mattie B. Brickle
• Rebecca E Brickman, DPM
• Bridgeport Allenmore LLC
• Lasana Lanell Bridges, LPN
• Marlene I Bridgforth, ARNP
• Rachel Elisabeth Bridwell, MD
• Kristin R Briejer, MD

• Social Worker in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.