BRIDGET IDEKER (NPI# 1932763133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932763133 |
| Entity Type | Individual |
| Full Name | BRIDGET IDEKER |
| Credential | LICSW |
| Practice Address |
6316 S 12th St Tacoma WA 98465-1900 |
| Mailing Address |
6424 N 9th St Tacoma WA 98406-2091 |
| Practice Telephone | 2355654887 |
| Practice Fax Number | 2535652983 |
| Mailing Telephone | 2535654484 |
| Mailing Fax Number | 2535655823 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LW60905465 | WA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6424 N 9th St, Tacoma, WA 984062091 | 2535654484 | 2535655823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841400256 | Bridget Ideker | Dietitian, Registered | 210 9th St Se, Rochester, MN 55904-6425 | 2007-05-23 |
| Street Address |
6316 S 12TH ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98465-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528323789 | Lauren Elizabeth Ledbetter | Speech-Language Pathologist | 6316 S 12th St, Tacoma, WA 98465-1900 | 2012-07-12 |
| 1386259414 | Lisa King | Occupational Therapy Assistant | 6316 S 12th St, Tacoma, WA 98465-1900 | 2020-09-15 |
| 1720603780 | Linda Rasmussen | Occupational Therapy Assistant | 6316 S 12th St, Tacoma, WA 98465-1900 | 2020-06-15 |
| 1306461603 | Ashley Earwood | Occupational Therapy Assistant | 6316 S 12th St, Tacoma, WA 98465-1900 | 2020-06-11 |
| 1811551971 | Alison Skeels | Speech-Language Pathologist | 6316 S 12th St, Tacoma, WA 98465-1900 | 2019-04-24 |
| 1730698200 | Jillian Kay Luger | Physical Therapist | 6316 S 12th St, Tacoma, WA 98465-1900 | 2017-09-27 |
| 1053711952 | Jessica Ruth Demick | Counselor | 6316 S 12th St, Tacoma, WA 98465-1900 | 2014-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013378025 | Shauna Lea Irish | Occupational Therapist | 8446 S. 17th Street, Tacoma, WA 98465 | 2016-03-18 |
| 1538533567 | Katherine Elizabeth Fakih | Massage Therapist | 1002 S. Pearl St., Tacoma, WA 98465 | 2015-11-13 |
| 1992932669 | Sandra Christian | Registered Nurse | 1201 S. Proctor, Comprehensive Mental Health/pearl Street Center, Tacoma, WA 98465 | 2009-06-19 |
| 1629202627 | Priyan Perera | Internal Medicine | 815 S Vassault St, Tacoma, WA 98465 | 2009-05-06 |
| 1306089941 | Kristin A. Hummel-sauerwein | Counselor | Comprehensive Mental Health / Pearl Street Center, 1201 Proctor Street, Tacoma, WA 98465 | 2009-04-13 |
| 1891950630 | Allen Douglas Webb Jr. | Psychiatric Residential Treatment Facility | 815 S Pearl, Pearl Street Center, Tacoma, WA 98465 | 2008-07-22 |
| 1598964470 | Hardtke's House Calls, LLC | Nurse Practitioner | 1540 Ventura Dr, Tacoma, WA 98465 | 2007-07-12 |
| 1013054543 | Advanced Lifeline Services Inc | Respiratory Therapist, Certified | 630 South Pearl, Tacoma, WA 98465 | 2007-02-01 |
| 1508952680 | Mary Ann Woodruff | Pediatrics | 1628 South Mildred, #101, Tacoma, WA 98465 | 2006-10-05 |
| 1427573989 | Mamta Shankar | Pharmacist | 1850 S Mildred St, Tacoma, WA 98465 | 2017-08-06 |
| Find all providers in zip 98465 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827551 | Heidi Elizabeth Hartz | Social Worker | 9040 Jackson Ave Joint Base Lewis-mcchord, Tacoma, WA 98431-0001 | 2020-10-08 |
| 1184241556 | Michele Therese Peyton | Social Worker | 4652 E Q St, Tacoma, WA 98404-4528 | 2020-07-01 |
| 1689293433 | Zowa Saysan Thompson | Social Worker | 4847 S 7th St, Tacoma, WA 98405-1206 | 2020-04-12 |
| 1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1740826593 | Kerry Ann Shaughnessy | Social Worker | 3516 S 47th St Ste 203, Tacoma, WA 98409-4475 | 2019-11-26 |
| 1669039897 | Katherine Marie Ginn | Social Worker | 1402 S 11th St, Tacoma, WA 98405-3608 | 2019-05-22 |
| 1285112763 | Sheri Lynn Waller | Social Worker | 535 Dock St Ste 108, Tacoma, WA 98402-4629 | 2018-08-06 |
| 1003312612 | Jennifer I. Soto | Social Worker | 1432 N Baltimore St, Tacoma, WA 98406-2702 | 2018-04-03 |
| 1295233955 | Lori A Jensen | Social Worker | 317 M.l.k. Jr Way, Tacoma, WA 98405 | 2018-01-29 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.