Provider Demographics
NPI:1548786809
Name:FRIEDMAN, BRIDGET ELAINE (MSW)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:ELAINE
Last Name:FRIEDMAN
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 1:14030 MAIN ST NE STE E1641
Mailing Address - Street 2:
Mailing Address - City:DUVALL
Mailing Address - State:WA
Mailing Address - Zip Code:98019-8448
Mailing Address - Country:US
Mailing Address - Phone:425-318-6148
Mailing Address - Fax:425-748-9967
Practice Address - Street 1:1611 116TH AVE NE STE 125
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3062
Practice Address - Country:US
Practice Address - Phone:425-318-6148
Practice Address - Fax:425-748-9967
Is Sole Proprietor?:No
Enumeration Date:2017-08-18
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW00004488104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker