Active NPI
Mary E Brady, LICDC. LSW
- Addiction (Substance Use Disorder) Counselor
- Ironton, OH
National Provider Identifier
1043827918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LICDC.163033
- Practice address
- 700 Park Ave
Ironton, OH 45638-1502 - Phone
- (740) 532-1613
- Fax
- (740) 879-0599
- NPI assigned
- Sep 25, 2020
- Last updated
- Jun 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC.163033 | OH | Primary |
| Social Worker | 104100000X | S.2512277 | OH | |
| Case Manager/Care Coordinator | 171M00000X | CDCA.174323 | OH | |
| Case Manager/Care Coordinator | 171M00000X | CDCA.177708 | OH |
Addresses
Primary practice location
700 Park Ave
Ironton, OH 45638-1502
Mailing address
PO Box 108
Ironton, OH 45638-0108
Phone (740) 532-1613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2512277 | OH | MD | Social Worker |
| CDCA.174323 | OH | MD | Case Manager/Care Coordinator |
| CDCA.177708 | OH | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1043827918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 108",
"city": "IRONTON",
"state": "OH",
"postal_code": "456380108",
"telephone_number": "740-532-1613",
"fax_number": "740-879-0599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 PARK AVE",
"city": "IRONTON",
"state": "OH",
"postal_code": "456381502",
"telephone_number": "740-532-1613",
"fax_number": "740-879-0599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "MARY",
"middle_name": "E",
"credential": "LICDC. LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-25",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LICDC.163033",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2512277",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": "CDCA.174323",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": "CDCA.177708",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ironton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.