| The Bridge Counseling Center | |
|
4 Mann St Worcester MA 01602-3414 | |
| (508) 755-0333 | |
| (508) 755-2191 |
| Full Name | The Bridge Counseling Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 4 Mann St, Worcester, Massachusetts |
| Authorized Official Name and Position | Fred Battersby (DIRECTOR ADMINISTRATION AND FINANCE) |
| Authorized Official Contact | 5087550333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Bridge Counseling Center 4 Mann St Worcester MA 01602-3414 Ph: (508) 755-0333 | The Bridge Counseling Center 4 Mann St Worcester MA 01602-3414 Ph: (508) 755-0333 |
| NPI Number | 1740657527 |
|---|---|
| Provider Enumeration Date | 08/27/2015 |
| Last Update Date | 02/10/2022 |
| Certification Date | 02/10/2022 |
| Medicare PECOS PAC ID | 1658694393 |
|---|---|
| Medicare Enrollment ID | O20150105000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740657527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sarah Langenfeld |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023175684 PECOS PAC ID: 9739256504 Enrollment ID: I20080919000269 |
| Provider Name | Teresa M Iapalucci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497084081 PECOS PAC ID: 3476877614 Enrollment ID: I20150119000442 |
| Provider Name | Abita Raj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447544705 PECOS PAC ID: 9739473992 Enrollment ID: I20160810001857 |
| Provider Name | Oliver C Joseph |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023437845 PECOS PAC ID: 8022234525 Enrollment ID: I20180613000881 |
| Provider Name | Amanda Owens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295222644 PECOS PAC ID: 1456606482 Enrollment ID: I20180615001210 |
| Provider Name | Heidi Kraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558654152 PECOS PAC ID: 0345581609 Enrollment ID: I20190415001122 |
| Provider Name | Eric M. Roldan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285174854 PECOS PAC ID: 9234463019 Enrollment ID: I20190627002639 |
| Provider Name | David C Freeman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124480355 PECOS PAC ID: 2163713082 Enrollment ID: I20200526003089 |
| Provider Name | Kathleen Dellapenna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255845533 PECOS PAC ID: 3971990151 Enrollment ID: I20220419001242 |
| Provider Name | Gwen Islam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851971766 PECOS PAC ID: 9032591060 Enrollment ID: I20220808000479 |
| Provider Name | Eneida Qirko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003124520 PECOS PAC ID: 4981068699 Enrollment ID: I20240206001801 |
| Provider Name | Elisabeth Maria Peterleitner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710547799 PECOS PAC ID: 7113360827 Enrollment ID: I20240209002094 |
| Provider Name | Elizabeth Marie Plante |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689001760 PECOS PAC ID: 3577907054 Enrollment ID: I20240223001201 |
| Provider Name | Brittany Delaney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528749157 PECOS PAC ID: 1052755543 Enrollment ID: I20240223001483 |
| Provider Name | Jessica R Reid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528778941 PECOS PAC ID: 3476994070 Enrollment ID: I20240514002489 |
| Provider Name | Megan Veronica Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013686047 PECOS PAC ID: 3274075627 Enrollment ID: I20240612004508 |
Olivia Homan, Licsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Cedar St, Worcester, MA 01609 Phone: 617-581-2267 | |
Autism Behavioral Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Sterling St, Worcester, MA 01610 Phone: 508-321-3055 Fax: 508-321-3055 | |
James P. Bresnahan Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 55 Cedar St, Worcester, MA 01609 Phone: 508-752-1170 Fax: 508-752-1800 | |
Community Health Link Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Jaques Ave, Worcester, MA 01610 Phone: 508-438-5578 Fax: 508-860-1023 | |
Guided Growth Therapy Collective Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Falcon St, Worcester, MA 01603 Phone: 508-769-2766 | |
Ld Psych Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Allston Ave, Worcester, MA 01604 Phone: 508-356-4495 | |
Hope Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 465 Park Ave, Worcester, MA 01610 Phone: 508-713-1191 |