Ledetra Bridges, is a
Social Worker - Clinical based in Murfreesboro, Tennessee. Ledetra Bridges is licensed to practice in Mississippi (license number C8677) and her current practice location is
3400 Lebanon Rd, Murfreesboro, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(615) 525-4793.
NPI number for Ledetra Bridges is 1750655155 and her current mailing address is 3400 Lebanon Rd, Murfreesboro, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750655155.
Healthcare Provider's Profile
| Full Name | Ledetra Bridges |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 3400 Lebanon Rd, Murfreesboro, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1750655155
- Provider Enumeration Date: 03/02/2012
- Last Update Date: 04/19/2024
Medical Identifiers
Medical identifiers for Ledetra Bridges such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750655155 | NPI | - | NPPES |
| 1020986 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 2023 (Mississippi) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | C8677 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ledetra Bridges is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ledetra Bridges,
3400 Lebanon Rd,
Murfreesboro, TN 37129-1392
Ph: () - | Ledetra Bridges,
3400 Lebanon Rd,
Murfreesboro, TN 37129-1392
Ph: (615) 525-4793 |
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