Provider Demographics
NPI:1922739960
Name:LANEY, BRIDGET (LCSWA)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:
Last Name:LANEY
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 SMOKE RISE DR
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-7046
Mailing Address - Country:US
Mailing Address - Phone:828-557-2706
Mailing Address - Fax:
Practice Address - Street 1:750 W US HIGHWAY 64
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-8115
Practice Address - Country:US
Practice Address - Phone:828-837-0071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-21
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0179451041C0700X
NC1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical