Provider Demographics
NPI:1831671031
Name:BYRNES, BRIDGET REILLY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:BRIDGET
Middle Name:REILLY
Last Name:BYRNES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BRIDGET
Other - Middle Name:
Other - Last Name:REILLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:773 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2528
Mailing Address - Country:US
Mailing Address - Phone:908-228-2740
Mailing Address - Fax:
Practice Address - Street 1:250 W 57TH ST STE 501
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10107-0500
Practice Address - Country:US
Practice Address - Phone:212-582-1566
Practice Address - Fax:212-586-1272
Is Sole Proprietor?:No
Enumeration Date:2018-09-04
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
086354-11041C0700X
NJ44SC060340001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical