Individual provider Active NPI

Bridget Margaret Gordon, LICSW

  • Clinical Social Worker
  • Bellingham, WA
National Provider Identifier
1861616120
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00006873 Issued in WA
Practice address
1712 D St
Bellingham, WA 98225-3101
Phone
(360) 647-2616
Fax
(360) 671-1842
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LW00006873 WA Primary

Addresses

Primary practice location

1712 D St
Bellingham, WA 98225-3101

Mailing address

1712 D St
Bellingham, WA 98225-3101
Phone (360) 647-2616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20040901000146 WA Practitioner - Clinical Social Worker 3678548740 Reassigns benefits to 1 organization
Practice locations: Bellingham, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Associates in Mental HealthGroup PAC ID 1355324815, 14 clinicians

Practice addresses (Care Compare)

2215 Elm St
Bellingham, WA 98225-2899
Phone (360) 715-2488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Mental Health Clinical CurrentSince Oct 11, 2009 Accepting new patients
Bellingham Osteopathic Center, PC PastSince May 31, 2016 Accepting new patients

Locations

1715 C St
Bellingham, WA 98225
Phone (360) 671-2740

1155 N State St
Ste 404
Bellingham, WA 98225

1712 D St
Bellingham, WA 98225
Phone (360) 647-2616

2209 Elm St
Ste 201
Bellingham, WA 98225
Phone (360) 647-2616

2215 Elm St
Bellingham, WA 98225
Phone (360) 920-2053

Organizations & group practices 2

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861616120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 D ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253101",
            "telephone_number": "360-647-2616",
            "fax_number": "360-671-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 D ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253101",
            "telephone_number": "360-647-2616",
            "fax_number": "360-671-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "BRIDGET",
        "middle_name": "MARGARET",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00006873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.