Paige Bradley
Individual provider Active NPI Social Worker · Celina, OH
NPI 1104706282 · NPPES record last updated Sep 8, 2025
Key facts
- NPI
- 1104706282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- S.2512775 (OH)
- Practice address
- 4761 State Route 29
Celina, OH 45822-8216 - Phone
- (419) 584-1000
- Fax
- (419) 584-1825
- NPI assigned
- Sep 8, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2512775 | OH | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2512775 | OH | Yes |
Addresses
Primary practice location
4761 State Route 29
Celina, OH 45822-8216
Mailing address
4761 State Route 29
Celina, OH 45822-8216
Phone (419) 584-1000
Other providers in Celina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.