Individual provider Active NPI

Barbara Hutchinson Bradford, MASTER OF SOCIAL WOR

  • Clinical Social Worker
  • Lincoln, NE
National Provider Identifier
1366946766
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1587 Issued in NE
Practice address
644 S 50TH St
Lincoln, NE 68510-3809
Phone
(402) 314-5702
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4589 NE
Clinical Social Worker 1041C0700X 1587 NE Primary

Addresses

Primary practice location

644 S 50TH St
Lincoln, NE 68510-3809

Mailing address

644 S 50TH St
Lincoln, NE 68510-3809
Phone (402) 314-5702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL, SC, NC, RI, MA, WI, DE, MT, ND, AZ, NE12 enrollments
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 12

Enrollment IDStateProvider typePAC IDDetails
I20260527001746 IA Practitioner - Clinical Social Worker 4981174372 Reassigns benefits to 1 organization
I20260601000518 IL Practitioner - Clinical Social Worker 4981174372 Reassigns benefits to 1 organization
I20260601001955 SC Practitioner - Clinical Social Worker 4981174372 Reassigns benefits to 1 organization
I20260601002150 NC Practitioner - Clinical Social Worker 4981174372 Reassigns benefits to 1 organization
I20260601002586 RI Practitioner - Clinical Social Worker 4981174372 Reassigns benefits to 1 organization
I20260601003869 MA Practitioner - Clinical Social Worker 4981174372 Reassigns benefits to 1 organization
I20260602000321 WI Practitioner - Clinical Social Worker 4981174372 Reassigns benefits to 1 organization
I20260603000882 DE Practitioner - Clinical Social Worker 4981174372 Reassigns benefits to 1 organization
I20260608001994 MT Practitioner - Clinical Social Worker 4981174372 Reassigns benefits to 1 organization
I20260611001902 ND Practitioner - Clinical Social Worker 4981174372 Reassigns benefits to 1 organization
I20260611002101 AZ Practitioner - Clinical Social Worker 4981174372 Reassigns benefits to 1 organization
I20260624004655 NE Practitioner - Clinical Social Worker 4981174372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4589NEMDMental Health Counselor
1587NEMDPhysical Therapist

Organizations & group practices 1

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1366946766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 S 50TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685103809",
            "telephone_number": "402-314-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 S 50TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685103809",
            "telephone_number": "402-314-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "BARBARA",
        "middle_name": "HUTCHINSON",
        "credential": "MASTER OF SOCIAL WOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4589",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.