NPIMap

Organization Active NPI

Inner Bliss Counseling, LLC

Doing business as Laura Bradford, LCSW-C

  • Clinical Social Worker
  • Salisbury, MD
National Provider Identifier
1407377146
Registry record updated Jul 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15367 Issued in MD
Legal business name
INNER BLISS COUNSELING, LLC
Doing business as
Laura Bradford, LCSW-C
Practice address
1324 Belmont Ave Ste 102
Salisbury, MD 21804-4543
Phone
(443) 365-7753
NPI assigned
Jul 3, 2017
Last updated
Jul 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2017

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

Authorized official

Name
Laura Bradford, LCSW-C
Title
Owner/Lead Helper
Phone
(443) 235-2456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 15367 MD Primary

Addresses

Primary practice location

1324 Belmont Ave Ste 102
Salisbury, MD 21804-4543

Mailing address

35813 Bob Kelly Rd
Pittsville, MD 21850-2075
Phone (443) 235-2456

Other identifiers 1

IdentifierTypeStateIssuer
822603200MedicaidMD

Other names 1

  • Laura Bradford, LCSW-C Doing business as

National Provider Directory

National Provider Directory

Locations

1324 Belmont Ave
Ste 102
Salisbury, MD 21804
Phone (410) 219-5155

NPI Registry JSON

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499040000000",
    "number": "1407377146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35813 BOB KELLY RD",
            "city": "PITTSVILLE",
            "state": "MD",
            "postal_code": "218502075",
            "telephone_number": "443-235-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 BELMONT AVE STE 102",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218044543",
            "telephone_number": "443-365-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER BLISS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-03",
        "last_updated": "2017-07-03",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER/LEAD HELPER",
        "authorized_official_telephone_number": "443-235-2456",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "822603200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laura Bradford, LCSW-C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2017; 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.