Joann Michelle Bradford, LCSW, CSAC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

0904007966 Issued in VA

Practice address

544 Glen Ridge Rd
Suite 201
Virginia Beach, VA 23452

Phone

(757) 461-0600

NPI assigned

Aug 21, 2012

Last updated

Jan 11, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1104174234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EMANCIPATION DR BLDG 148",
            "address_2": "JOANN M. BRADFORD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236670001",
            "telephone_number": "757-722-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 GLEN RIDGE RD",
            "address_2": "SUITE 201",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23452",
            "telephone_number": "757-461-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "JOANN",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LCSW, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0904007966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny V Bozman, D.D.S.
• Sa'Deria Nachet Brace, LCSW
• Scott Bracken, CSA
• Kristina Bradberry, RBT
• Thomas Aaron Bradbury, MD
• Rebecca Bradford, MS OTR/L
• Stephanie Bradley-Blue, PC
• Connie Suzanne Bradley, DNP, APRN, FNP-C
• Kevin Bradley, SOIDC
• Randi Dawn Bradley, BS, LCMT, CRM, MMP

• Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.