Bradley Charles Sublette, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6904-C Issued in AR

Practice address

102 Country Club Pkwy
Maumelle, AR 72113-6705

Phone

(501) 628-9066

NPI assigned

Jul 16, 2013

Last updated

Aug 29, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

• Sublette Therapeutic Services, PLLC

  • Community/Behavioral Health Agency
  • Maumelle, AR
  • NPI 1881132876
  NPD (past) Authorized official

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1295176444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BELLE RIVER CV",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137024",
            "telephone_number": "501-352-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 COUNTRY CLUB PKWY",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136705",
            "telephone_number": "501-628-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBLETTE",
        "first_name": "BRADLEY",
        "middle_name": "CHARLES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-16",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "6904-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stepping Stones Therapy Services
• Cindy M Stone, APRN
• Stonehaven Assisted Living, LLC
• Shauna Storey, LPN
• Sublette Therapeutic Services, PLLC
• Supermarket Investors Inc (Harvest Foods Pharmacy)
• Anna Szwedo, M.D.
• Chadwick Dean Taylor, D.C.
• Erica N Taylor, APRN
• Sherri Ann Taylor, M.S.CCC-SLP

• Clinical Social Worker in Maumelle, AR
• Providers in Maumelle, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.