Provider Demographics
NPI:1134529746
Name:JAMES-BARRIE, BRIDGENETT (DSW, MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:BRIDGENETT
Middle Name:
Last Name:JAMES-BARRIE
Suffix:
Gender:F
Credentials:DSW, MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3409 PEBBLE SAND LN
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32065-4228
Mailing Address - Country:US
Mailing Address - Phone:850-519-1127
Mailing Address - Fax:
Practice Address - Street 1:3409 PEBBLE SAND LN
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32065-4228
Practice Address - Country:US
Practice Address - Phone:850-519-1127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-02
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW133211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical