Individual
BRIDGETTE K HATHAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
109 W 27TH ST STE 5S, NEW YORK, NY 10001-0265
(833) 351-8255
Mailing address
PO BOX 24449, NEW YORK, NY 10087-0589
(833) 351-8255
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NY
1041C0700X
Clinical Social Worker
Primary
093976
NY
1041C0700X
Clinical Social Worker
TPSW3393
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02997780
—
NY
Enumeration date
07/17/2020
Last updated
10/29/2024
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