Bradley Antenore, MSW-CC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

MC21491 Issued in ME

Practice address

419 Alfred St
Biddeford, ME 04005-3747

Phone

(207) 494-8010

NPI assigned

Aug 17, 2023

Last updated

Aug 17, 2023By 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

Enrolled in ME

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, 2022

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alternative Wellness Services

  • Community/Behavioral Health Agency
  • Biddeford, ME
  • NPI 1982046207
  NPD
• Primecare Physician Associates

  • Family Medicine Physician
  • Biddeford, ME
  • NPI 1831150911
  NPD (past)

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1356124804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 ALFRED ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053747",
            "telephone_number": "207-494-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 ALFRED ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053747",
            "telephone_number": "207-494-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTENORE",
        "first_name": "BRADLEY",
        "credential": "MSW-CC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ME",
            "license": "MC21491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alternative Wellness Services
• Jordyn Lindsay Alvarez
• Erik Anderson
• Kate Anderson, PT, DPT
• Linda J Anderson, WHNP
• Apex Physical Therapy LLC
• Lisa Arsenault, ANP
• Fernanda Cerqueira Asel, PA-C
• Mariah Aubin
• Jennifer Jean Avery

• Counselor in Biddeford, ME
• Providers in Biddeford, ME by specialty
• Counselor in Maine

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