Provider Demographics
NPI:1568052041
Name:SIMS, BRIDGIT (LCPC)
Entity type:Individual
Prefix:
First Name:BRIDGIT
Middle Name:
Last Name:SIMS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4219 HANOVER PIKE BLDG B
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MD
Mailing Address - Zip Code:21102-1414
Mailing Address - Country:US
Mailing Address - Phone:410-861-0616
Mailing Address - Fax:
Practice Address - Street 1:4219 HANOVER PIKE BLDG B
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:MD
Practice Address - Zip Code:21102-1414
Practice Address - Country:US
Practice Address - Phone:410-861-0616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-19
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC14985101YP2500X
104100000X, 1041C0700X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical