Individual provider Active NPI

Teresa R Bradley, LCSW, LCAC

  • Clinical Social Worker
  • Noblesville, IN
National Provider Identifier
1306113642
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006341A Issued in IN
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

Updated by the provider on Aug 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300004581MedicaidIN

Other names 1

  • Teresa R Sandifer Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120120000139 IN Practitioner - Clinical Social Worker 7012184781 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87001383AINMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Care Associates, Inc CurrentSince Sep 28, 2017 Accepting new patients
Indiana University Health Bloomington Inc CurrentSince Aug 1, 2019 Accepting new patients
Indiana University Health Bloomington Inc Clinical CurrentSince Aug 1, 2019 Accepting new patients
Ready Break Counseling Services Current Accepting new patients
Iu Health Medical Group, LLC Clinical CurrentSince Jul 1, 2025 Accepting new patients
Transitions Indiana, LLC PastSince Feb 21, 2017 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

  • Direct secure messaging: tbradley@direct.iuhealth.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.