Individual provider Active NPI

Alice E. Bradley-Harmon, L.C.S.W.

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1023258191
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
50711 Issued in TX
Practice address
12700 Hillcrest Rd
Suite 249
Dallas, TX 75230-2033
Phone
(972) 233-1010
Fax
(972) 233-1099
NPI assigned
Mar 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 50711 TX Primary

Addresses

Primary practice location

12700 Hillcrest Rd
Suite 249
Dallas, TX 75230-2033

Mailing address

1517 N Waterview Dr
Richardson, TX 75080-2935
Phone (972) 644-0046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090406000574 TX Practitioner - Clinical Social Worker 8325195498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1121 Hampshire LN
Suite 135
Richardson, TX 75080-4306
Phone (214) 236-7328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50711TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Peony Counseling Clinical CurrentSince Jul 1, 2017 Accepting new patients

Locations

1121 Hampshire Ln
Ste 135
Richardson, TX 75080
Phone (214) 236-7328

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1023258191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 N WATERVIEW DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802935",
            "telephone_number": "972-644-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 HILLCREST RD",
            "address_2": "SUITE 249",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302033",
            "telephone_number": "972-233-1010",
            "fax_number": "972-233-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY-HARMON",
        "first_name": "ALICE",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-02",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "50711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.