Bradley Wolcott, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149011615 Issued in IL

Practice address

2625 Butterfield Rd Ste 101N
Oak Brook, IL 60523-3405

Phone

(630) 586-0900

Fax

(630) 586-9990

NPI assigned

Jan 30, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1073077335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FOX CHASE DR N",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438889",
            "telephone_number": "630-772-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD STE 101N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605233405",
            "telephone_number": "630-586-0900",
            "fax_number": "630-586-9990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605406795",
            "country_code": "US",
            "telephone_number": "630-586-0900 x22",
            "fax_number": "630-586-9990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLCOTT",
        "first_name": "BRADLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-30",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IL",
            "license": "1914594",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nitaya Williams
• Tanisha Williams
• Tobi Wilson, PH.D.
• Meghan Wittenborn, PSY.D.
• Charlene Wojnowski-Sparacio, LCSW
• Thomas Alexander Wolf, MSW, LCSW
• Maria Wolter, APN
• Susan Woo, MD
• Helen Alice Wood, OT
• Artur Wozniczka

• Clinical Social Worker in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.