Provider Demographics
NPI:1386114700
Name:ANDERSON-TRIM, BRIDGET DANIELLE (LICSW)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:DANIELLE
Last Name:ANDERSON-TRIM
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:BRIDGET
Other - Middle Name:DANIELLE
Other - Last Name:ANDERSON-TRIM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:77 E MERRIMACK ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-1251
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:77 E MERRIMACK ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1251
Practice Address - Country:US
Practice Address - Phone:978-349-4174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-28
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11306411041C0700X
MA2276921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical