Provider Demographics
NPI:1689808248
Name:BRIDGET NASH
Entity Type:Organization
Organization Name:BRIDGET NASH
Other - Org Name:BRIDGET NASH
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:MCGUIRE
Authorized Official - Last Name:NASH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:908-809-8951
Mailing Address - Street 1:2 LINDABURY AVE
Mailing Address - Street 2:
Mailing Address - City:BERNARDSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07924-2020
Mailing Address - Country:US
Mailing Address - Phone:908-809-8951
Mailing Address - Fax:
Practice Address - Street 1:364 MAIN ST # 201
Practice Address - Street 2:
Practice Address - City:BEDMINSTER
Practice Address - State:NJ
Practice Address - Zip Code:07921-2592
Practice Address - Country:US
Practice Address - Phone:908-809-8951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-12
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053705001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty