Clarissa Bradford

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

4449 N 12TH St
Phoenix, AZ 85014-4520

Phone

(602) 279-1427

NPI assigned

Nov 14, 2022

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Human Services Consultants

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1932277480
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 14, 2022.

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1003524448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4449 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4449 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144520",
            "telephone_number": "602-279-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "CLARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erini Constantina Braddock, FNP-C
• Braden Partners LP
• Braden Partners LP
• Nancy Jo Braden, M.D.
• Chas Edward Bradford-Green, RBT
• James Cannon Bradford III, RN
• Sade Monique Bradford, BHPP
• Teresa Bradford
• Bradley S Baker MD PLLC
• Patricia L. Bradley-Bates, LPC, LISAC

• All providers in Phoenix, AZ
• Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.