Active NPI
Teresa R Bradley, LCSW, LCAC
- Clinical Social Worker
- Noblesville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34006341A
- Practice address
- 490 Maple Park Ave.
Noblesville, IN 46060 - Phone
- (317) 652-6761
- NPI assigned
- Nov 30, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34006341A | IN | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 34006341A | IN |
Addresses
Primary practice location
490 Maple Park Ave.
Noblesville, IN 46060
Mailing address
490 Maple Park Ave.
Noblesville, IN 46060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300004581 | Medicaid | IN |
Other names 1
- Teresa R Sandifer
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | TBRADLEY@DIRECT.IUHEALTH.ORG | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87001383A | IN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| Indiana University Health Bloomington Inc | Current | Accepting new patients | |
| Indiana University Health Bloomington Inc | Clinical | Current | Accepting new patients |
| Ready Break Counseling Services | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Clinical | Current | Accepting new patients |
| Transitions Indiana, LLC | Past | Accepting new patients |
Locations
5208 Reliable Pkwy
Chicago, IL 60686
7987 Solution Ctr
Chicago, IL 60677
720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000
714 N Senate Ave
Ste 130
Indianapolis, IN 46202
Phone (317) 963-5582
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
950 N Meridian St
Indianapolis, IN 46204
Phone (317) 963-2200
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
Interoperability endpoints
- tbradley@direct.iuhealth.org
- tbradley6@direct.iuhealth.org
Organizations & group practices 8
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- Mental Health Counselor
- Indianapolis, IN
- NPI 1407660475
-
- Federally Qualified Health Center (FQHC)
- Anderson, IN
- NPI 1780068288
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Carmel, IN
- NPI 1124016050
-
- Psychiatry Physician
- Bloomington, IN
- NPI 1871519074
Clinical
-
- Community/Retail Pharmacy
- Bloomington, IN
- NPI 1922640077
-
- Community Based Hospice Care Agency
- Indianapolis, IN
- NPI 1376998781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1306113642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 MAPLE PARK AVE.",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "46060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 MAPLE PARK AVE.",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "46060",
"telephone_number": "317-652-6761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "TERESA",
"middle_name": "R",
"credential": "LCSW, LCAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-30",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34006341A",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "34006341A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300004581",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "TBRADLEY@DIRECT.IUHEALTH.ORG",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1701 N Senate Blvd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021239",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TERESA",
"last_name": "SANDIFER",
"middle_name": "R",
"credential": "LCSW, LCAC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Noblesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.