| Olivia Diane Bridges, | |
|
905 Halstead Blvd Ste 15, Elizabeth City, NC 27909-6816 | |
| (252) 379-1712 | |
| Not Available |
| Full Name | Olivia Diane Bridges |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 905 Halstead Blvd Ste 15, Elizabeth City, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316637440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | P016851 (North Carolina) | Primary |
| Entity Name | Family Preservation Services Of North Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205141520 PECOS PAC ID: 7214028539 Enrollment ID: O20070801000148 |
| Entity Name | Deer Oaks Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619112612 PECOS PAC ID: 7719251875 Enrollment ID: O20171215001181 |
| Entity Name | Pathways Human Services Of North Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285246991 PECOS PAC ID: 8123477064 Enrollment ID: O20231218001575 |
| Mailing Address | Practice Location Address |
|---|---|
| Olivia Diane Bridges, 905 Halstead Blvd Ste 14-15, Elizabeth City, NC 27909-6986 Ph: (252) 698-1393 | Olivia Diane Bridges, 905 Halstead Blvd Ste 15, Elizabeth City, NC 27909-6816 Ph: (252) 379-1712 |
Mitzi Bunch Jordan, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1141 N Road St Ste L, Elizabeth City, NC 27909 Phone: 252-335-0803 Fax: 252-413-0932 | |
Amber Finck, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1825 W City Dr Ste D, Elizabeth City, NC 27909 Phone: 252-621-1404 | |
Zionna Briell Wood, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 711 Roanoke Ave, Elizabeth City, NC 27909 Phone: 252-338-4400 | |
Lashonda Renee Dance, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1141 N Road St, Suite L, Elizabeth City, NC 27909 Phone: 252-335-0803 Fax: 252-331-1796 | |
Shaquana Annette Pettus, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Medical Dr, Elizabeth City, NC 27909 Phone: 252-384-0388 | |
Kinisha Greene, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2012 N Road St, Elizabeth City, NC 27909 Phone: 757-344-0127 | |
Ms. Jean Dianne Scott, LCSW, RN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1129 Horseshoe Road, Albemarle Counseling Group, Elizabeth City, NC 27909 Phone: 252-335-2018 Fax: 252-335-9521 |