Active NPI
Kristen M Salines-Bradlee, LICSW
- Clinical Social Worker
- Gloucester, MA
National Provider Identifier
1427299239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1026432
- Practice address
- 7 Saint Anthonys LN
Gloucester, MA 01930 - Phone
- (978) 283-2702
- Fax
- (978) 283-0743
- NPI assigned
- Mar 9, 2009
- Last updated
- Jun 19, 2018
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1026432 | MA | Primary |
Addresses
Primary practice location
7 Saint Anthonys LN
Gloucester, MA 01930
Mailing address
7 Saint Anthonys LN
Gloucester, MA 01930-4262
Phone (978) 283-2702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7 Saint Anthonys LN
Gloucester, MA 01930-4262
Phone (978) 283-2702
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Joyce Noble | Current | Accepting new patients | |
| Hallmark Health System Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529366400000",
"number": "1427299239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 SAINT ANTHONYS LN",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019304262",
"telephone_number": "978-283-2702",
"fax_number": "978-283-0743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 SAINT ANTHONYS LN",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "01930",
"telephone_number": "978-283-2702",
"fax_number": "978-283-0743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALINES-BRADLEE",
"first_name": "KRISTEN",
"middle_name": "M",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-09",
"last_updated": "2018-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1026432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gloucester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.