Provider Demographics
NPI:1245546977
Name:MCLAUGHLIN, BRIDGET (MA,MSW, LICSW)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:MA,MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7224
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20907-7224
Mailing Address - Country:US
Mailing Address - Phone:301-442-5788
Mailing Address - Fax:
Practice Address - Street 1:9208 TWIN HILL LN
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-2507
Practice Address - Country:US
Practice Address - Phone:301-442-5788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3031811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical