Maureen Mounce Bradley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

091212 Issued in NY

Practice address

3740 Euclid Ave Ste 101
Cleveland, OH 44115-2229

Phone

(440) 606-2003

NPI assigned

May 5, 2014

Last updated

Apr 17, 2023By the provider in NPPES

Sex

Female

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

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Portage Path Community Mental Health CenterGroup PAC ID 5597663344, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: renaissancebehavioral.maureenbradley@152395.advancedmd-direct.com

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.

• Portage Path Community Mental Health Center

  dba Portage Path Behavioral health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Akron, OH
  • NPI 1225087802
  Medicare reassignment Care Compare group
• Bradley Counseling Services LMSW PC

  • Clinical Social Worker
  • Syracuse, NY
  • NPI 1477121069
  NPD Authorized official
• Enchanted Cottage Therapy LLC

  • Clinical Social Worker
  • Berea, OH
  • NPI 1265131163
  NPD
• Renaissance Behavioral Health LLC

  • Psychiatry Physician
  • Cleveland, OH
  • NPI 1689251845
  NPD

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1316357080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N ROCKY RIVER DR",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171625",
            "telephone_number": "315-383-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 EUCLID AVE STE 101",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152229",
            "telephone_number": "440-606-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "MAUREEN",
        "middle_name": "MOUNCE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Bradley
• Kimberly Bradley, LPN
• Latasha Bradley, RN
• Latasha Marie Bradley
• Linda D Bradley, MD
• Princess Lapaula Bradley
• Rayetta Bradley
• Sarah Vanorden Bradley, MD PHD
• Tamika Nicole Bradley
• Jon P Bradrick, DDS

• Clinical Social Worker in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.