Provider Demographics
NPI:1073343174
Name:BRIDGET, ARBRISHA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ARBRISHA
Middle Name:
Last Name:BRIDGET
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIT 28037 BOX PSC
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09112-8037
Mailing Address - Country:US
Mailing Address - Phone:314-590-1756
Mailing Address - Fax:
Practice Address - Street 1:CMR 480 BOX 1781
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09128-1018
Practice Address - Country:US
Practice Address - Phone:806-544-0505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-05
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1227571041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical