Individual provider Active NPI

Bradley Park Warner, LCSW, CASAC

  • Addiction (Substance Use Disorder) Counselor
  • Albany, NY
National Provider Identifier
1386722627
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
10232 Issued in NY
Practice address
845 Central Ave
Sparc
Albany, NY 12206-1504
Phone
(518) 458-8888
Fax
(518) 482-2458
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10232 NY Primary
Clinical Social Worker 1041C0700X R058761-1 NY

Addresses

Primary practice location

845 Central Ave
Sparc
Albany, NY 12206-1504

Mailing address

226 Lake Hill Rd
Burnt Hills, NY 12027-9604
Phone (518) 796-6892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10232NYMDAddiction (Substance Use Disorder) Counselor
R058761-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1386722627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 LAKE HILL RD",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "120279604",
            "telephone_number": "518-796-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 CENTRAL AVE",
            "address_2": "SPARC",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061504",
            "telephone_number": "518-458-8888",
            "fax_number": "518-482-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "BRADLEY",
        "middle_name": "PARK",
        "name_prefix": "Mr.",
        "credential": "LCSW, CASAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "10232",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R058761-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.