Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kim Mary Bridgwood, LCSW

Individual provider Clinical Social Worker · NPI 1962760918

Kim Mary Bridgwood, LCSW is a Clinical Social Worker in Smithtown, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

732 Smithtown Byp Ste A55
Smithtown, NY 11787-5020
Phone: (631) 320-1070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0744541 (NY)

Record details

NPI number1962760918
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 27, 2012
Last updated in NPPESApril 27, 2012

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