Individual
BRIDGET BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00567
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000030452
BLUE CROSS
RI
01
—
1021720
UNITED HEALTH
RI
01
—
406746
BLUE CHIP
RI
05
—
BB03403
—
RI
Enumeration date
07/11/2006
Last updated
11/20/2018
Update your record
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