Bridge Counseling Center Inc
NPI 1609812130ActiveOrganization· Social Worker, Clinical· Smithtown, NY
Social Worker, Clinical in Smithtown, New York, registered in NPPES in June 2006. The authorized official on file is Lisa F. Raia, LCSW-R, President , Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609812130 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 22, 2006 |
| Last updated in NPPES | Jul 20, 2021 |
| Certified by provider | Jul 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 075024-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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