Provider Demographics
NPI:1346767472
Name:YOUNGBLOOD, BRIDGETT LIN (MSW)
Entity Type:Individual
Prefix:MRS
First Name:BRIDGETT
Middle Name:LIN
Last Name:YOUNGBLOOD
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4313 BROWNSBORO GLEN RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-4156
Mailing Address - Country:US
Mailing Address - Phone:502-500-1132
Mailing Address - Fax:
Practice Address - Street 1:4313 BROWNSBORO GLEN RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241
Practice Address - Country:US
Practice Address - Phone:502-500-1132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator