Bradley Counseling Services LMSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BRADLEY COUNSELING SERVICES LMSW PC

Practice address

1711 Caleb Ave
Syracuse, NY 13206-2515

Phone

(315) 491-8268

NPI assigned

Jun 11, 2021

Organization subpart

No

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

Authorized official

Name

Maureen M Bradley, LCSWNPI 1316357080

Title

Owner

Phone

(315) 491-8268

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maureen Mounce Bradley, LCSW

  • Clinical Social Worker
  • Cleveland, OH
  • NPI 1316357080
  NPD Authorized official

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1477121069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 CALEB AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132062515",
            "telephone_number": "315-491-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 CALEB AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132062515",
            "telephone_number": "315-491-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY COUNSELING SERVICES LMSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-491-8268",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie R Braddock, M.P.H.
• Adam Russell Bradford, DO
• Cassandra Bradford
• Jason A Bradford
• Matthew Bradford
• Deborah Ann Bradley, RN, NP
• Charles B Bradshaw, PH.D
• Deborah Y Bradshaw, M.D.
• Jonathan Bradshaw, PHARM.D.
• Cynthia Ann Brady I, RN

• Clinical Social Worker in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.