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TIFFANY BRIDGES LCSW-A, LCAS-A
NPI 1427516301
Social Worker - Clinical in Charlotte, NC

Active since March 09, 2019Opted out of Medicare · through Jun 3, 2028
3717 LATROBE DR STE 750, CHARLOTTE, NC 28211(980) 288-5486 Get Directions Write a Review

NPPES record last updated: February 9, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 9, 2020, Aug 27, 2019, Jul 30, 2019 and 1 more (4 updates tracked since 2019).

About Tiffany Bridges Lcsw-a, Lcas-a NPPES

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

TIFFANY BRIDGES LCSW-A, LCAS-A (NPI 1427516301) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (PO12239) and active in the NPI registry since March 2019. She has opted out of Medicare through June 3, 2028 and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1427516301
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTIFFANY BRIDGESCredential: LCSW-A, LCAS-A
Location Address3717 LATROBE DR STE 750Charlotte, NC 28211-4826
Mailing Address3717 Latrobe Dr Ste 750Charlotte, NC 28211-4826
Phone(980) 288-5486
Sole ProprietorNo
Enumeration DateMarch 9, 2019
Last NPPES UpdateFebruary 9, 20204 updates tracked since enumeration
✔ NPI 1427516301 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 NC · PO12239
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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCAS-24476 (NC)
3717 LATROBE DR STE 750, Charlotte, NC 28211
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Secondary Practice Location 1

Location 1769 N Wendover RdCharlotte, NC 28211 · Phone (704) 376-7180 · Fax (704) 531-9266

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tiffany Bridges Lcsw-a, Lcas-a has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 3, 2024 through June 3, 2028.

Opt-Out Effective DateJune 3, 2024
Opt-Out In Effect ThroughJune 3, 2028Opt-out affidavits renew automatically every two years unless cancelled

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
23 services23 patients
Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
23 services23 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID E. SHANKS
Internal Medicine
3717 LATROBE DR STE 750
CHARLOTTE, NC 28211
Mecklenburg County (704) 364-6676
DAVID E. SHANKS, PA
Internal Medicine
3717 LATROBE DR STE 750
CHARLOTTE, NC 28211
Mecklenburg County (704) 364-6676
COURTNEY LEAK NESBITT LCSW
Social Worker (Clinical)
3717 LATROBE DR STE 750
CHARLOTTE, NC 28211
Mecklenburg County (803) 493-9298

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 Tiffany Bridges's NPI number?

The NPI number for Tiffany Bridges is 1427516301. It was assigned to this individual provider in the NPPES registry on March 9, 2019.

Where is Tiffany Bridges located?

Tiffany Bridges practices at 3717 Latrobe Dr Ste 750, Charlotte, NC 28211. The listed phone number is (980) 288-5486.

What is Tiffany Bridges's specialty?

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

Is Tiffany Bridges enrolled in Medicare?

No. Tiffany Bridges has opted out of Medicare through June 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Tiffany Bridges accept?

Health plans from Blue Cross and Blue Shield of NC list Tiffany Bridges as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tiffany Bridges was last updated on February 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.