Provider Demographics
NPI:1487165528
Name:CAFFREY, BRIGID
Entity type:Individual
Prefix:
First Name:BRIGID
Middle Name:
Last Name:CAFFREY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BRIGID
Other - Middle Name:
Other - Last Name:CAFFREY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:155 WALTHERY AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-3507
Mailing Address - Country:US
Mailing Address - Phone:201-218-0719
Mailing Address - Fax:
Practice Address - Street 1:155 WALTHERY AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-3507
Practice Address - Country:US
Practice Address - Phone:201-218-0719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-16
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC056930001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical