Individual
BRIDGET NUSOM
Active
Individual
BRIDGET NUSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
LCSW229797
MA
1041C0700X
Clinical Social Worker
Primary
LICSW1142785
MA
Other
Enumeration date
09/07/2022
Last updated
02/23/2026
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