National Provider Identifier

Victoria Ennis Bridges, LCSW

Victoria Ennis Bridges, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Canandaigua, NY and a listed phone number of (585) 393-7770.

NPI 1265638597Canandaigua, NYClinical Social Worker

Profile Overview

NPI
1265638597
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
June 24, 2007
Last Updated
July 08, 2007

Practice Location

  • 400 Fort Hill Ave
  • Canandaigua, NY 14424-1159

Phone: (585) 393-7770

Mailing Address

  • 5563 Centerpointe Blvd
  • Apt. 6
  • Canandaigua, NY 14424-7832

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1265638597
Entity Type
Individual
Last Name
Bridges
First Name
Victoria
Middle Name
Ennis
Credential
LCSW
Mailing Street Address
5563 Centerpointe Blvd
Mailing Address Line 2
Apt. 6
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-7832
Mailing Country
US
Mailing Phone
(585) 394-8077
Practice Street Address
400 Fort Hill Ave
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1159
Practice Country
US
Practice Phone
(585) 393-7770
Enumeration Date
June 24, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)