BRIDGET VYBORNY (NPI# 1629462742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629462742 |
| Entity Type | Individual |
| Full Name | BRIDGET VYBORNY |
| Other Name | BRIDGET KEEN |
| Credential | LCSW |
| Practice Address |
502 W 29th St Tucson AZ 85713-3394 |
| Mailing Address |
504 W 29th St Tucson AZ 85713-3353 |
| Practice Telephone | 5208849920 |
| Mailing Telephone | 5208849920 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2018-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW 15493 | AZ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 504 W 29th St, Tucson, AZ 857133353 | 5208849920 |
| Street Address |
502 W 29TH ST |
| City | TUCSON |
| State | AZ |
| Zip Code | 85713-3394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548218555 | Dean Wm Mckenzie | Psychologist | 502 W 29th St, Tucson, AZ 85713-3353 | 2006-05-04 |
| 1760021570 | Amanda Lynn Manzer | Counselor | 502 W 29th St, Tucson, AZ 85713-3394 | 2019-12-26 |
| 1336796861 | Katy M Obert | Marriage & Family Therapist | 502 W 29th St, Tucson, AZ 85713-3353 | 2019-08-20 |
| 1588137715 | Elizabeth Dampsey | Psychologist | 502 W 29th St, Tucson, AZ 85713-3394 | 2019-01-10 |
| 1033601745 | Melissa Evans Greene | Counselor | 502 W 29th St, Tucson, AZ 85713-3353 | 2018-05-30 |
| 1407388143 | Christina Rodriguez | Social Worker | 502 W 29th St, Tucson, AZ 85713-3353 | 2017-03-31 |
| 1861924839 | Danette Cienfuegos | Counselor | 502 W 29th St, Tucson, AZ 85713-3353 | 2017-03-29 |
| 1578004123 | Jennifer A Fout | Counselor | 502 W 29th St, Tucson, AZ 85713-3353 | 2017-03-15 |
| 1679020572 | La Frontera Center, Inc. | Community/Behavioral Health | 502 W 29th St, Tucson, AZ 85713-3353 | 2016-09-08 |
| 1225423460 | Annalisa Castro | Social Worker | 502 W 29th St, Tucson, AZ 85713-3353 | 2015-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679115489 | Eric James Mccracken | Nurse Practitioner | 1230 South Cherrybell Stravanue, Tucson, AZ 85713 | 2019-10-14 |
| 1336702448 | Julie Tomkins | Psychiatry & Neurology | Behavioral Health Pavilion, 2800 E Ajo Way, Tucson, AZ 85713 | 2019-04-16 |
| 1861958332 | El Rio Santa Cruz Neighborhood Health Center, Inc | Pharmacy | 1230 S Cherrybell Strav, Tucson, AZ 85713 | 2019-02-20 |
| 1164993002 | Lisa Ann Lindsay | Nurse Practitioner | 1230 S Cherrybell Stravenue, Tucson, AZ 85713 | 2018-12-17 |
| 1043701717 | Ramsha Saeed Rao | Student in an Organized Health Care Education/Training Program | Maria Jennings 2800 E. Ajo Way, Tucson, AZ 85713 | 2018-05-29 |
| 1215381736 | Nancy G Larison | Counselor | 504 W 29th Street, La Frontera Center, Inc., Tucson, AZ 85713 | 2016-04-21 |
| 1053791749 | Eric Lederer | Emergency Medicine | 3950 S. Country Club Rd, Ste. 200, Tucson, AZ 85713 | 2015-06-08 |
| 1942625025 | Eugene Randolph Shields | Obstetrics & Gynecology | 2315 W. Ocelot Drive, Tucson, AZ 85713 | 2014-02-26 |
| 1821361973 | Irene A Laventure | Nurse Practitioner | 2800 East Ajo Way, University of Arizona Medical Center - South Campus, Tucson, AZ 85713 | 2012-02-21 |
| 1386917417 | Caring Together,llc | Respite Care | 2957 E 24th Street, Tucson, AZ 85713 | 2012-02-21 |
| Find all providers in zip 85713 | ||||
| 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 |
|---|---|---|---|---|
| 1669070710 | Erica Rhea Wagner | Social Worker | 4873 E Cooper St, Tucson, AZ 85711-3617 | 2020-10-12 |
| 1053928648 | Elizabeth Sarah Kieding | Social Worker | 4732 E Calle Elegante, Tucson, AZ 85718-3733 | 2020-09-28 |
| 1386259778 | Yolanda Jeli | Social Worker | 1701 W Saint Marys Rd Ste 117, Tucson, AZ 85745-2621 | 2020-09-11 |
| 1689282097 | Marcus Aurelius De Volder | Social Worker | 8110 E Speedway Blvd Apt 8391, Tucson, AZ 85710-1782 | 2020-07-21 |
| 1336766641 | Jamie Lakin | Social Worker | 470 W Roger Rd Ste 110, Tucson, AZ 85705-2679 | 2020-07-02 |
| 1356961973 | Jillian A Stein-seroussi | Social Worker | 5400 E Williams Blvd Apt 12207, Tucson, AZ 85711-7486 | 2020-04-23 |
| 1124648175 | Deborah Lorraine Mack | Social Worker | 9950 N Camino De Oeste, Tucson, AZ 85742-9119 | 2020-04-20 |
| 1376163543 | Strategic Healing LLC | Social Worker | 245 S Bryant Ave, Tucson, AZ 85711-4122 | 2020-04-17 |
| 1811526841 | Jessica Belter | Social Worker | 3009 E Elm St # 1, Tucson, AZ 85716-3124 | 2020-04-02 |
| 1700425436 | Shannon N Barefield | Social Worker | 48 N Tucson Blvd Ste 100, Tucson, AZ 85716-4756 | 2019-12-28 |
| Find all providers in TUCSON | ||||
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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.