Active NPI
Lisa Bradway, MSW
- Social Worker
- Huntington, WV
National Provider Identifier
1194050526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CP00942698
- Practice address
- 1540 Spring Valley Dr
Mail Stop 581-122
Huntington, WV 25704-9300 - Phone
- (304) 429-6741
- NPI assigned
- Oct 2, 2009
- Last updated
- Oct 2, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | CP00942698 | WV | Primary |
Addresses
Primary practice location
1540 Spring Valley Dr
Mail Stop 581-122
Huntington, WV 25704-9300
Mailing address
1540 Spring Valley Dr
Mail Stop 581-122
Huntington, WV 25704-9300
Phone (304) 429-6741
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP00942698 | WV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254441600000",
"number": "1194050526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 SPRING VALLEY DR",
"address_2": "MAIL STOP 581-122",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257049300",
"telephone_number": "304-429-6741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 SPRING VALLEY DR",
"address_2": "MAIL STOP 581-122",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257049300",
"telephone_number": "304-429-6741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADWAY",
"first_name": "LISA",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-02",
"last_updated": "2009-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "CP00942698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.