Provider Demographics
NPI:1750279824
Name:GRAHAM, BRIDGETT D (LMSW)
Entity type:Individual
Prefix:MISS
First Name:BRIDGETT
Middle Name:D
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16027 ENGLISH OAKS AVE APT G
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3334
Mailing Address - Country:US
Mailing Address - Phone:803-730-5877
Mailing Address - Fax:
Practice Address - Street 1:900 BESTGATE RD STE 300
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7957
Practice Address - Country:US
Practice Address - Phone:410-364-4242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD32672104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker