Provider Demographics
NPI:1952831224
Name:CARING BRIDGES SOCIAL WORK & CASE MANAGEMENT LLC
Entity Type:Organization
Organization Name:CARING BRIDGES SOCIAL WORK & CASE MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JOELLEN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FALK
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:978-491-8662
Mailing Address - Street 1:29 CHOATE ST
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:MA
Mailing Address - Zip Code:01929-1057
Mailing Address - Country:US
Mailing Address - Phone:978-491-8662
Mailing Address - Fax:
Practice Address - Street 1:29 CHOATE ST
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:MA
Practice Address - Zip Code:01929-1057
Practice Address - Country:US
Practice Address - Phone:978-491-8662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-19
Last Update Date:2017-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA117432101YM0800X
261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty