Provider Demographics
NPI:1669743399
Name:GIL, BRIDGETTE ELIZABETH (LICSW)
Entity type:Individual
Prefix:MISS
First Name:BRIDGETTE
Middle Name:ELIZABETH
Last Name:GIL
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1747 LAFOND AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-1714
Mailing Address - Country:US
Mailing Address - Phone:612-607-9189
Mailing Address - Fax:
Practice Address - Street 1:1201 HARMON PL
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-2043
Practice Address - Country:US
Practice Address - Phone:612-607-9189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-26
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
MN172581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical