| Provider / Organization | NPI | Date Certified |
|---|---|---|
| PRINCESS RUSSELL-BLIDGEN | 1649679648 | 2024-09-07 |
Princess Russell-blidgen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1649679648. Registration indicates Princess Russell-blidgen is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Entity Type | Individual |
| Provider Name | Mrs. Princess Russell-blidgen LCSW |
| Practice Office Address | 6 S BARN HILL RD BLOOMFIELD, CT US |
| Practice Office Telephone | 8608903052 |
| Mailing Address | 6 S BARN HILL RD BLOOMFIELD, CT 060021622 US |
| Business Telephone | 8608903052 |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 009922
CT |