KATIE BRIDGE (NPI# 1356755649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356755649 |
| Entity Type | Individual |
| Full Name | KATIE BRIDGE |
| Credential | LCSW |
| Practice Address |
21 W Columbia St Orlando FL 32806 |
| Practice Telephone | 3218416600 |
| Practice Fax Number | 3218414085 |
| Mailing Telephone | 3218416600 |
| Mailing Fax Number | 3218414085 |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2019-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW 11526 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | N/A | 05 | |
| FL | MEDICAL LICENSE | SW11526 | 01 |
| Street Address |
21 W COLUMBIA ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104828318 | David T Smuckler | Specialist | 21 W Columbia St, Orlando, FL 32806-1133 | 2005-06-01 |
| 1316349954 | Katharine Barbara Schaefer | Nurse Practitioner | 21 W Columbia St, Ste 201, Orlando, FL 32806-6100 | 2014-09-25 |
| 1962832964 | Physician Associates LLC | Obstetrics & Gynecology | 21 W Columbia St, Suite 101, Orlando, FL 32806-1133 | 2013-11-13 |
| 1366708323 | Malisa Agard | Internal Medicine | 21 W Columbia St, Orlando, FL 32806-2028 | 2012-04-04 |
| 1417237421 | Farah Joyce Bess | Nurse Practitioner | 21 W Columbia St, Orlando, FL 32806-1133 | 2011-08-22 |
| 1275812042 | Ashlee E Wright | Dietitian, Registered | 21 W Columbia St, Orlando, FL 32806-1133 | 2011-08-11 |
| 1568758167 | Ryan Kendall Harris | Internal Medicine | 21 W Columbia St, Orlando, FL 32806-2028 | 2011-06-22 |
| 1861788564 | Mona Sane | Ophthalmology | 21 W Columbia St, Suite 102, Orlando, FL 32806-1133 | 2011-06-22 |
| 1508152232 | Tiffany Latrice Clay | Student in an Organized Health Care Education/Training Program | 21 W Columbia St, Suite 102, Orlando, FL 32806-1133 | 2011-06-21 |
| 1013234715 | Benjamin Matthew Kaplan | Internal Medicine | 21 W Columbia St, Orlando, FL 32806-2028 | 2010-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619772 | Nichole Goff | Social Worker | 12151 Waterstone Ct Apt 826, Orlando, FL 32825-7035 | 2020-11-07 |
| 1902405830 | Tejah Carbone | Social Worker | 2630 S Tanner Rd, Orlando, FL 32820-1202 | 2020-10-21 |
| 1871192013 | Benjamin Jose Medina | Social Worker | 5850 T G Lee Blvd Ste 400, Orlando, FL 32822-4409 | 2020-10-19 |
| 1679171821 | Gabriela C Soto | Social Worker | 3320 Pelham Rd, Orlando, FL 32803-1034 | 2020-10-10 |
| 1588261663 | Paria Maghsoudi | Social Worker | 12198 Sumter Dr, Orlando, FL 32824-7362 | 2020-10-02 |
| 1861007833 | Sabrina Crim | Social Worker | 1611 Natchez Trace Blvd, Orlando, FL 32818-9038 | 2020-09-15 |
| 1326651001 | Serenity Health & Consulting | Social Worker | 5091 Shale Ridge Trl, Orlando, FL 32818-8752 | 2020-08-24 |
| 1770101206 | Choose Joy Therapy, LLC | Social Worker | 1235 Mount Vernon St, Orlando, FL 32803-5417 | 2020-07-10 |
| 1326664897 | Stephanie Jean | Social Worker | 11806 Meadow Branch Dr Apt 717, Orlando, FL 32825-5062 | 2020-06-22 |
| 1710501077 | Chelsie Meredith | Social Worker | 4324 Stonewall Dr, Orlando, FL 32812-7940 | 2020-06-02 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.