Tara H Bradley, LCSW
Individual provider Active NPI Clinical Social Worker · Pelham, AL
NPI 1144758384 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1144758384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 3947C (AL)
- Practice address
- 2100 County Services Dr
Pelham, AL 35124-6150 - Phone
- (205) 663-1252
- NPI assigned
- Jun 1, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Stiltner Counseling LLC
Practice addresses (Care Compare)
511 Creekside CT
Helena, AL 35080-3286
Phone (205) 202-9685
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171024002001 | AL | Practitioner - Clinical Social Worker | 4587935036 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stiltner Counseling LLC | Clinical | Current |
Accepting new patients |
Locations
511 Creekside Ct
Helena, AL 35080
Phone (205) 202-9685
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3947C | AL | Yes |
Addresses
Primary practice location
2100 County Services Dr
Pelham, AL 35124-6150
Mailing address
PO Box 689
Calera, AL 35040-0689
Phone (205) 668-4308
Other practice location 1
151 Hamilton Ln
Calera, AL 35040-8700
Phone (205) 668-4308 ext. 120
Other practice location 2
110 Medical Center Dr
Clanton, AL 35045-2332
Phone (205) 755-5933
Other providers in Pelham, AL
- Elizabeth Bowab
- Gabrielle Marie Bowen
- Robert L Bowen II
- Ray Boyd
- Julia B Brackeen
- Erin Brannon
- Tonya Lynn Breaux Shropshire
- Kathleen Courtney Bright
- Debra Elaine Brinson
- Lia A Brooks
All providers in Pelham, AL · Clinical Social Worker in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.