Bridget M. Callaghan, LCSW, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6801087127 Issued in MI

Legal business name

BRIDGET M. CALLAGHAN, LCSW, LLC

Practice address

3537 W Front St Ste F
Traverse City, MI 49684-7943

Phone

(231) 935-8900

Fax

(231) 935-8901

NPI assigned

Aug 25, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Bridget Maureen Callaghan, LCSWNPI 1184716086

Title

Manger

Phone

(231) 935-8900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Bridget Maureen Callaghan, MSW

  • Clinical Social Worker
  • Traverse City, MI
  • NPI 1184716086
  Medicare reassignment NPD Authorized official
• Faye E Youker, MSW

  • Clinical Social Worker
  • Traverse City, MI
  • NPI 1396418232
  NPD (past)

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1891075651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 W FRONT ST STE F",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847943",
            "telephone_number": "231-935-8900",
            "fax_number": "231-935-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 W FRONT ST STE F",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847943",
            "telephone_number": "231-935-8900",
            "fax_number": "231-935-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGET M. CALLAGHAN, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "CALLAGHAN",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "MAUREEN",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "231-935-8900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801087127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darcia Brewer, R.D.
• Brian D. Heeringa PC
• Brian J Chandler DC
• Brian R. Fisher
• Brianna Chantel Brian, PHARMD
• Alison Briggs
• Deanne R Briggs, LPC, CAC III
• Janell Briggs, LPC
• Bright Water Counseling
• Erin A Brindley

• Community/Behavioral Health Agency in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.