Individual provider · Type 1 NPI

Kim Mary Bridgwood, LCSW

Clinical Social Worker · Smithtown, NY

NPI number 1962760918 Active

Practice location

732 Smithtown Byp Ste A55
Smithtown, NY 11787-5020

Mailing address

20 Cecily Ln
Commack, NY 11725-3302

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0744541 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1962760918

Kim Mary Bridgwood, LCSW's National Provider Identifier is 1962760918, issued on Apr 27, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Smithtown, NY. The record was last updated on Apr 27, 2012.