Active NPI
Yolanda Bean-Bradford, LLMSW
- Social Worker
- Detroit, MI
National Provider Identifier
1417259011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 7800 W Outer Dr Ste 300
Detroit, MI 48235-3458 - Phone
- (313) 340-4442
- NPI assigned
- Dec 2, 2010
- Last updated
- Jul 17, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
7800 W Outer Dr Ste 300
Detroit, MI 48235-3458
Mailing address
17421 Telegraph Rd
Detroit, MI 48219-3165
Other practice location 1
24424 W McNichols Rd
Detroit, MI 48219-3653
Phone (313) 531-2500
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santosh Rastogi MD PC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Troy, MI
- NPI 1639443591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563321600000",
"number": "1417259011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17421 TELEGRAPH RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482193165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 W OUTER DR STE 300",
"city": "DETROIT",
"state": "MI",
"postal_code": "482353458",
"telephone_number": "313-340-4442"
}
],
"practiceLocations": [
{
"address_1": "24424 W McNichols Rd",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482193653",
"country_code": "US",
"telephone_number": "313-531-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEAN-BRADFORD",
"first_name": "YOLANDA",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-02",
"last_updated": "2019-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.