Organization Active NPI

Bridge & Associates PLLC

  • Clinical Social Worker
  • Azle, TX
National Provider Identifier
1952014359
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BRIDGE & ASSOCIATES PLLC
Practice address
11784 East CT
Azle, TX 76020-5532
Phone
(817) 872-2663
Fax
(817) 989-1329
NPI assigned
Dec 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Authorized official

Name
Anne M Cummings-Bridge, LCSW LMFTNPI 1760562326
Title
Owner
Phone
(817) 872-2663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

11784 East CT
Azle, TX 76020-5532

Mailing address

11784 East CT
Azle, TX 76020-5532
Phone (817) 872-2663

Other identifiers 1

IdentifierTypeStateIssuer
02651959OtherTXMEDICARE PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1952014359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11784 EAST CT",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760205532",
            "telephone_number": "817-872-2663",
            "fax_number": "817-989-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11784 EAST CT",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760205532",
            "telephone_number": "817-872-2663",
            "fax_number": "817-989-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-30",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS-BRIDGE",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-872-2663",
        "authorized_official_credential": "LCSW LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "02651959",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Azle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.