ELISABETH ANNE BRIDGEWATER (NPI# 1790069144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790069144 |
| Entity Type | Individual |
| Full Name | ELISABETH ANNE BRIDGEWATER |
| Credential | LCSW |
| Practice Address |
2245 Stantonsburg Rd Suite O/ Suite T Greenville NC 27834-2868 |
| Mailing Address |
4300 Sapphire Ct Ste 110 Greenville NC 27834-9079 |
| Practice Telephone | 2527520483 |
| Practice Fax Number | 2527573172 |
| Mailing Telephone | 2528307561 |
| Mailing Fax Number | 2524130932 |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C007314 | NC | Behavioral Health & Social Service Providers |
| Street Address |
2245 STANTONSBURG RD SUITE O/ SUITE T |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-2868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043215411 | Gretchen Blair Journigan | Physician Assistant | 2245 Stantonsburg Rd, Suite H, Greenville, NC 27834-2868 | 2005-06-14 |
| 1215303359 | Eastern Healthcare Associates | Family Medicine | 2245 Stantonsburg Rd, Suite 0, Greenville, NC 27834-2868 | 2015-08-12 |
| 1629400981 | Kristin Maddox Vandenbussche | Social Worker | 2245 Stantonsburg Rd, Ste O, Greenville, NC 27834-2868 | 2013-08-08 |
| 1831478502 | Laura Elizabeth Young | Social Worker | 2245 Stantonsburg Rd, Greenville, NC 27834 | 2011-08-11 |
| 1811131410 | Jennifer Beatley Hardee | Counselor | 2245 Stantonsburg Rd, Ste. O, Greenville, NC 27834-2868 | 2009-04-27 |
| 1245473016 | Amy Smith Howard | Nurse Practitioner | 2245 Stantonsburg Rd, Ste O, Greenville, NC 27834-2868 | 2009-04-09 |
| 1114100112 | Amy D Blount | Counselor | 2245 Stantonsburg Rd, Ste. O, Greenville, NC 27834-2868 | 2007-12-12 |
| 1447446554 | Maxim Habilitation Services, LLC | Day Training, Developmentally Disabled Services | 2245 Stantonsburg Rd, Suite J, Greenville, NC 27834-2868 | 2007-09-21 |
| 1205033255 | Amanda T Woolard | Counselor | 2245 Stantonsburg Rd, Ste O, Greenville, NC 27834-2868 | 2007-07-02 |
| 1770628588 | Khristine Lynn Brewington | Counselor | 2245 Stantonsburg Rd, Suite O, Greenville, NC 27834-2868 | 2007-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| 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 |
|---|---|---|---|---|
| 1346841459 | Mickaella Ann Moser | Social Worker | 3030 Adams Blvd Apt 13, Greenville, NC 27858-4840 | 2020-11-04 |
| 1710596812 | Kiera Clemmons | Social Worker | 1611 Sandstone Ct, Greenville, NC 27834-0377 | 2020-07-24 |
| 1518584705 | Apriann Marchelle Sutton | Social Worker | 2050 Eastgate Dr., # E, Greenville, NC 27858 | 2020-07-03 |
| 1346870698 | From The Ground Up Wellness Center, LLC | Social Worker | 31 Smith Ave Unit 3, Greenville, RI 02828-1730 | 2020-01-24 |
| 1790324580 | Margaret Vester | Social Worker | 1502 E 4th St, Greenville, NC 27858-2609 | 2019-12-27 |
| 1003467267 | Martrell Denise Kelly John | Social Worker | 250 Commonwealth Dr, Greenville, SC 29615-4846 | 2019-09-27 |
| 1336790633 | Jenna Bonnell Canterbury | Social Worker | 926 Cleveland St Apt 4208, Greenville, SC 29601-4651 | 2019-09-27 |
| 1386294361 | Desirae Rivers | Social Worker | 132 Chandler Dr Apt B, Greenville, NC 27834-6075 | 2019-09-12 |
| 1770048365 | The Soar Firm, LLC | Social Worker | 2320 E North St Ste Gg8, Greenville, SC 29607-1247 | 2019-02-07 |
| 1447733068 | Kerri Lanzieri | Social Worker | 562 Putnam Pike, Greenville, RI 02828-2126 | 2018-09-10 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on ELISABETH ANNE BRIDGEWATER.
| 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.