Bridge Vision Licensed Clinical Social Worker in San Bernardino, CA

Bridge Vision Licensed Clinical Social Worker is a medicare enrolled mental health clinic (Community/behavioral Health) in San Bernardino, California. The current practice location for Bridge Vision Licensed Clinical Social Worker is 357 W 2nd St Ste 3, San Bernardino, California. For appointments, you can reach them via phone at (909) 936-3888. The mailing address for Bridge Vision Licensed Clinical Social Worker is 255 N D St, Suite 401h, San Bernardino, California and phone number is (909) 936-3888.

Bridge Vision Licensed Clinical Social Worker is licensed to practice in California (license number LCSW29187). The clinic also participates in the medicare program and its NPI number is 1083069850. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (909) 936-3888.

Contact Information

	Bridge Vision Licensed Clinical Social Worker
	357 W 2nd St Ste 3 San Bernardino CA 92401-1803
	(909) 936-3888
	(909) 635-6173

Map and Direction

Mental Health Clinic Profile

Full Name	Bridge Vision Licensed Clinical Social Worker
Speciality	Community/Behavioral Health
Location	357 W 2nd St Ste 3, San Bernardino, California
Authorized Official Name and Position	Colleen Nomsa Chali (CLINICAL DIRECTOR)
Authorized Official Contact	9099363888
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Bridge Vision Licensed Clinical Social Worker 255 N D St Suite 401h San Bernardino CA 92401 Ph: (909) 936-3888	Bridge Vision Licensed Clinical Social Worker 357 W 2nd St Ste 3 San Bernardino CA 92401-1803 Ph: (909) 936-3888

NPI Details:

NPI Number	1083069850
Provider Enumeration Date	04/29/2016
Last Update Date	10/18/2019

Medicare PECOS Information:

Medicare PECOS PAC ID	1759718620
Medicare Enrollment ID	O20200305002340

Medical Identifiers

Medical identifiers for Bridge Vision Licensed Clinical Social Worker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083069850	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
251S00000X	Community/behavioral Health	LCSW29187 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bridge Vision Licensed Clinical Social Worker acts as a billing entity for following providers:

Provider Name	Courtney Roushion
Provider Type	Practitioner - Clinical Social Worker
Provider Identifiers	NPI Number: 1568939924 PECOS PAC ID: 9830527894 Enrollment ID: I20200325002076

Reviews and Comments

Community/Behavioral Health in San Bernardino, CA

Cynthia J Soto Md Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 E Highland Ave Ste 223, San Bernardino, CA 92404 Phone: 909-475-5200
Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1874 Business Center Dr Ste B, San Bernardino, CA 92408 Phone: 909-386-0437 Fax: 909-386-0529
Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1585 South D Street, Suite 101, 205, San Bernardino, CA 92408 Phone: 909-388-2222
Youth Hope Licensed Clinical Social Worker Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 N D St Ste 400, San Bernardino, CA 92401 Phone: 909-567-2808
Beyond Wellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2150 N Waterman Ave Ste 101, San Bernardino, CA 92404 Phone: 833-759-8720
Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 658 E Brier Dr Ste 200, San Bernardino, CA 92408 Phone: 909-501-0700 Fax: 909-381-2330
Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-388-0801 Fax: 909-890-0435

Bridge Vision Licensed Clinical Social Worker - Medicare Mental Health Clinic in San Bernardino, CA