Individual provider Active NPI

Bridgit Annice Williams, LCSW

  • Clinical Social Worker
  • Manvel, TX
National Provider Identifier
1801037445
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-3477 Issued in HI
Practice address
2320 Redwood Ridge TRL
Manvel, TX 77578-1590
Phone
(808) 479-7671
NPI assigned
Mar 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-3477 HI Primary

Addresses

Primary practice location

2320 Redwood Ridge TRL
Manvel, TX 77578-1590

Mailing address

2320 Redwood Ridge TRL
Manvel, TX 77578-1590
Phone (808) 479-7671

Other practice location 1

4093 Guadalcanal Ave Apt C
Kapolei, HI 96707-3532
Phone (808) 479-7671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190411000345 TX Practitioner - Clinical Social Worker 0042496556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Psychological Care I LLCGroup PAC ID 1557535226, 9 clinicians

Practice addresses (Care Compare)

3151 Southfork Pkwy
Manvel, TX 77578-1521
Phone (713) 999-6097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
66419TXMDProfessional Counselor
LCSW-3477HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychological Care I, LLC Clinical CurrentSince May 7, 2019 Accepting new patients

Locations

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

413 Garland Dr
Lake Jackson, TX 77566
Phone (979) 297-3266

920 E Avenue L
Silsbee, TX 77656
Phone (409) 385-5571

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1801037445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 REDWOOD RIDGE TRL",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775781590",
            "telephone_number": "808-479-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 REDWOOD RIDGE TRL",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775781590",
            "telephone_number": "808-479-7671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4093 Guadalcanal Ave Apt C",
            "address_purpose": "LOCATION",
            "city": "Kapolei",
            "state": "HI",
            "postal_code": "967073532",
            "country_code": "US",
            "telephone_number": "808-479-7671",
            "fax_number": "808-664-5523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRIDGIT",
        "middle_name": "ANNICE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-3477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manvel, TX

Sources for this page

Verify at the official NPI Registry.