Healthcare Provider Details

I. General information

NPI: 1427903384
Provider Name (Legal Business Name): BRIDGET O'DONNELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 WHITE PLAINS RD
BRONX NY
10467-8154
US

IV. Provider business mailing address

3050 WHITE PLAINS RD
BRONX NY
10467-8154
US

V. Phone/Fax

Practice location:
  • Phone: 929-348-3928
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number101951
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: