Provider Demographics
NPI:1518273937
Name:KASMENN, BRIDGET E (LCSW)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:E
Last Name:KASMENN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BRIDGET
Other - Middle Name:
Other - Last Name:KASMENN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:3 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILAN
Mailing Address - State:MI
Mailing Address - Zip Code:48160-1282
Mailing Address - Country:US
Mailing Address - Phone:734-627-7650
Mailing Address - Fax:
Practice Address - Street 1:3 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:MI
Practice Address - Zip Code:48160-1282
Practice Address - Country:US
Practice Address - Phone:734-627-7650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-23
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical