Active NPI
Sharon Bradley, LCSW
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1043769912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C011998
- Practice address
- 3805 Toyon Dr
Raleigh, NC 27616-8605 - Phone
- (984) 247-9774
- NPI assigned
- Oct 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C011998 | NC | Primary |
Addresses
Primary practice location
3805 Toyon Dr
Raleigh, NC 27616-8605
Mailing address
3805 Toyon Dr
Raleigh, NC 27616-8605
Phone (984) 247-9774
Other practice location 1
3040 Hammond Business Pl Ste 105
Raleigh, NC 27603-3666
Phone (919) 899-6259
Other names 1
- Sharon Goodson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradley Behavioral Health, PLLC | Clinical | Current | Accepting new patients |
| US Department of Veterans Affairs | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Raleigh, NC
- NPI 1467133967
-
- Military Hospital
- Raleigh, NC
- NPI 1871977074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1043769912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3805 TOYON DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276168605",
"telephone_number": "984-247-9774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 TOYON DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276168605",
"telephone_number": "984-247-9774"
}
],
"practiceLocations": [
{
"address_1": "3040 Hammond Business Pl Ste 105",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276033666",
"country_code": "US",
"telephone_number": "919-899-6259",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADLEY",
"first_name": "SHARON",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-03",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C011998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHARON",
"last_name": "GOODSON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.