Active NPI
Bradford Brewer, LCSW
- Clinical Social Worker
- Campton, KY
National Provider Identifier
1174790018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4089
- Practice address
- 6047 Lacy Creek Rd
Campton, KY 41301-9405 - Phone
- (606) 205-3835
- NPI assigned
- May 9, 2008
- Last updated
- Apr 1, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4089 | KY | Primary |
Addresses
Primary practice location
6047 Lacy Creek Rd
Campton, KY 41301-9405
Mailing address
PO Box 274
Hazel Green, KY 41332-0274
Phone (606) 205-3835
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30610026 | Medicaid | KY | |
| 7100350220 | Medicaid | KY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4089 | KY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1174790018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 274",
"city": "HAZEL GREEN",
"state": "KY",
"postal_code": "413320274",
"telephone_number": "606-205-3835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6047 LACY CREEK RD",
"city": "CAMPTON",
"state": "KY",
"postal_code": "413019405",
"telephone_number": "606-205-3835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "BRADFORD",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-09",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "4089",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30610026",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100350220",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Campton, KY
- Appalachian Wellness, L.L.C.
- Adrian Clint Banks, D.O.
- Alissa Leigh Bell, APRN
- Sandra Kaye Benham, APRN
- Carla Bowling, LPCC
- Jayden Elizabeth Brewer
- Jessi Jade Campbell, APRN
- Campton Pharmacare Inc (Campton Discount Drugs)
- Campton Pharmacare, Inc. (Campton Discount Drugs)
- Campton Pharmacist Group, LLC (Med-Save Wolfe)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.