Active NPI
Pamela Bradford
- Social Worker
- Norwalk, OH
National Provider Identifier
1477052413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S0023888
- Practice address
- 292 Benedict Ave
Norwalk, OH 44857-2374 - Phone
- (419) 663-3737
- NPI assigned
- Feb 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | S0023888 | OH | Primary |
Addresses
Primary practice location
292 Benedict Ave
Norwalk, OH 44857-2374
Mailing address
667 Kimberly Cir
Oberlin, OH 44074-1341
Phone (440) 216-5510
Other practice location 1
3100 E 45th St Ste 212
Cleveland, OH 44127-1093
Phone (216) 341-5510
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
| License | State | Type | Specialty |
|---|---|---|---|
| S0023888 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Solutions of Ohio Inc | Single Specialty | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Cincinnati, OH
- NPI 1073949202
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1477052413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "667 KIMBERLY CIR",
"city": "OBERLIN",
"state": "OH",
"postal_code": "440741341",
"telephone_number": "440-216-5510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "292 BENEDICT AVE",
"city": "NORWALK",
"state": "OH",
"postal_code": "448572374",
"telephone_number": "419-663-3737"
}
],
"practiceLocations": [
{
"address_1": "3100 E 45th St Ste 212",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441271093",
"country_code": "US",
"telephone_number": "216-341-5510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADFORD",
"first_name": "PAMELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-05",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "OH",
"license": "S0023888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.