BRIDGET JUDITH PETERSON-FENNELL LCSW
NPI 1720486459
Social Worker - Clinical in Palmyra, VA

Active since December 11, 2014
73 AMETHYST RD, PALMYRA, VA 22963(434) 589-4316 Get Directions Write a Review

NPPES record last updated: December 11, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bridget Judith Peterson-fennell Lcsw NPPES

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

BRIDGET JUDITH PETERSON-FENNELL LCSW (NPI 1720486459) is an individual clinical provider in Palmyra, Virginia, licensed in Virginia (0904006965) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1720486459
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBRIDGET JUDITH PETERSON-FENNELLCredential: LCSW
Location Address73 AMETHYST RDPalmyra, VA 22963-2414
Mailing Address73 Amethyst RdPalmyra, VA 22963-2414 · (434) 589-4316
Sole ProprietorYes
Enumeration DateDecember 11, 2014
NPI 1720486459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in VA · 0904006965
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.
73 AMETHYST RD, Palmyra, VA 22963

Other Names 1

Professional Name (2)Bridget Judith Peterson Lcsw

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 Bridget Peterson-fennell's NPI number?

The NPI number for Bridget Peterson-fennell is 1720486459. It was assigned to this individual provider in the NPPES registry on December 11, 2014. The provider is also known as Bridget Judith Peterson Lcsw.

Where is Bridget Peterson-fennell located?

Bridget Peterson-fennell practices at 73 Amethyst Rd, Palmyra, VA 22963. The listed phone number is (434) 589-4316.

What is Bridget Peterson-fennell'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 Bridget Peterson-fennell was last updated on December 11, 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.