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LIFE BRIDGE THERAPY
NPI 1235533506
Social Worker - Clinical in Champaign, IL

Active since October 15, 2014
2507 CURTIS RD, CHAMPAIGN, IL 61822(217) 329-1346 Get Directions Write a Review

NPPES record last updated: October 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Life Bridge Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE BRIDGE THERAPY (NPI 1235533506) is a healthcare organization registered as a clinical in Champaign, Illinois and active in the NPI registry since October 2014. The organization lists Deborah Crandall, Owner, as its authorized official.

NPPES Registry Identity

NPI1235533506
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLIFE BRIDGE THERAPY
Location Address2507 CURTIS RDChampaign, IL 61822-9630
Mailing Address2507 Curtis RdChampaign, IL 61822-9630 · (217) 329-1346
Phone(217) 329-1346
Organization SubpartNo
Authorized OfficialDeborah CrandallOwner · (217) 329-1346
Enumeration DateOctober 15, 2014
✔ NPI 1235533506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149015301
Definition
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.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 166000861 (IL)
2507 CURTIS RD, Champaign, IL 61822
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Bridge Therapy's NPI number?

The NPI number for Life Bridge Therapy is 1235533506. It was assigned to this organization in the NPPES registry on October 15, 2014.

Where is Life Bridge Therapy located?

Life Bridge Therapy is located at 2507 Curtis Rd, Champaign, IL 61822. The listed phone number is (217) 329-1346.

What is Life Bridge Therapy's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Life Bridge Therapy was last updated on October 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.