Individual provider Active NPI

Mary Louise Bridgewater, L.M.S.W.

  • Clinical Social Worker
  • Saginaw, MI
National Provider Identifier
1942743992
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801012588 Issued in MI
Practice address
1010 N Niagara St Ste 2
Saginaw, MI 48602-4359
Phone
(989) 401-5562
NPI assigned
Nov 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801012588 MI
Clinical Social Worker 1041C0700X 6801012588 MI Primary

Addresses

Primary practice location

1010 N Niagara St Ste 2
Saginaw, MI 48602-4359

Mailing address

1010 N Niagara St Ste 2
Saginaw, MI 48602-4359
Phone (989) 401-5562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20171101000035 MI Practitioner - Clinical Social Worker 1557637899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solutions Behavioral Health LLCGroup PAC ID 9234434291, 2 clinicians

Practice addresses (Care Compare)

1010 N Niagara St
Suite 2
Saginaw, MI 48602-4359
Phone (989) 401-5563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801012588MIMDClinical Social Worker

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": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1942743992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N NIAGARA ST STE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024359",
            "telephone_number": "989-401-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N NIAGARA ST STE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024359",
            "telephone_number": "989-401-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGEWATER",
        "first_name": "MARY",
        "middle_name": "LOUISE",
        "credential": "L.M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801012588",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801012588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.