Matthew L Bradley Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904020125 Issued in VA

Practice address

6147 Jefferson Ave
Newport News, VA 23605-1511

Phone

(757) 826-1300

Fax

(804) 482-3761

NPI assigned

Mar 17, 2026

Sex

Male

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elevated Minds Counseling LLC

  • Clinical Social Worker
  • Newport News, VA
  • NPI 1770431314
  NPD Authorized official
• Heart & Soul LLC

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Newport News, VA
  • NPI 1881936748

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1184572117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 753",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236070753",
            "telephone_number": "757-826-1300",
            "fax_number": "804-482-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6147 JEFFERSON AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236051511",
            "telephone_number": "757-826-1300",
            "fax_number": "804-482-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904020125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Kathleen Bozarth, PA
• Bruce Maynard Bradfield, MD
• Morgan Camille Bradford, M.A., CCC-SLP
• Dionne Bradley, RBT
• Laura Selden Bradley, NP
• Rachel Loretta Bradley
• Natalie Marie Bradshaw-Smith, WHNP
• Joseph Daniel Bradshaw Jr., D.O.
• John E Brady, MD
• Nicholas Paul Brancatella

• Clinical Social Worker in Newport News, VA
• Providers in Newport News, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.