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Bridgeway Inc
Community/Behavioral Health Agency in Macomb, Illinois
NPI 1861776213

Bridgeway Inc is a Community/Behavioral Health Agency based in Macomb, IL. Bridgeway Inc practices in Macomb, IL. The NPI Number for Bridgeway Inc is 1861776213 and holds a License No. 04016 (Illinois).

The current practice location address for Bridgeway Inc is 590 S Deer Rd, Macomb, IL and can be reached out via phone at 309-837-4876 and via fax at 309-833-1531.

Location: 590 S Deer Rd, Macomb, IL, 61455-2639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861776213
Provider Name
Bridgeway Inc
Credential
Provider Entity Type
Organization
Address
590 S Deer Rd, Macomb, IL, 61455-2639
Phone Number
309-837-4876
Fax Number
309-833-1531
Provider Enumeration Date
10/04/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04016 01 IL MENTAL HEALTH MEDICAID CERTIFICATE
institution
Provider Business Practice Location Address Details
Address
590 S Deer Rd
City
Macomb
State
Illinois
Zip
61455-2604
Phone Number
309-837-4876
Fax Number
309-833-1531
person
Provider Business Mailing Address Details
Address
590 S Deer Rd
City
Macomb
State
Illinois
Zip
61455-2604
Phone Number
309-837-4876
Fax Number
309-833-1531
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
04016 (Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
04016 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
04016 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
04016 (Illinois)
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
person
Provider's Taxonomy Details 5
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
04016 (Illinois)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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