Individual provider Active NPI

Amy Bradley, LCSW

  • Clinical Social Worker
  • Winter Park, FL
National Provider Identifier
1477898302
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW23961 Issued in FL
Practice address
3184 Crown Jewel CT
Winter Park, FL 32792-0800
Phone
(850) 624-5886
NPI assigned
Dec 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW23961 FL Primary

Addresses

Primary practice location

3184 Crown Jewel CT
Winter Park, FL 32792-0800

Mailing address

3184 Crown Jewel CT
Winter Park, FL 32792-0800
Phone (850) 624-5886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MA, WA, FL, NC, VA, AL7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20250113000117 DC Practitioner - Clinical Social Worker 2567990054 Reassigns benefits to 2 organizations
I20250113002324 MA Practitioner - Clinical Social Worker 2567990054 Reassigns benefits to 2 organizations
I20250113003091 WA Practitioner - Clinical Social Worker 2567990054 Reassigns benefits to 2 organizations
I20250217001277 FL Practitioner - Clinical Social Worker 2567990054 Reassigns benefits to 3 organizations
I20250730004140 NC Practitioner - Clinical Social Worker 2567990054 Reassigns benefits to 1 organization
I20260424001900 VA Practitioner - Clinical Social Worker 2567990054 Reassigns benefits to 1 organization
I20260430002616 AL Practitioner - Clinical Social Worker 2567990054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Apr 3, 2025 Accepting new patients
Sondermind, P.a. Clinical CurrentSince Feb 26, 2025 Accepting new patients
Che Behavioral Health Services of Florida, P.a. Clinical CurrentSince Feb 17, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Dec 13, 2024 Accepting new patients

Locations

2100 Southbridge Pkwy
Ste 650
Homewood, AL 35209
Phone (205) 533-8902

601 Pennsylvania Ave NW
Ste 900
Washington, DC 20004
Phone (240) 586-3538

6750 N Andrews Ave
Ste 200
Lauderdale Lakes, FL 33309
Phone (718) 408-5477

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

90 Canal St
Ste 4
Boston, MA 02114
Phone (617) 517-4889

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

1400 112th Ave SE
Ste 100
Bellevue, WA 98004
Phone (425) 455-2526

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1477898302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3184 CROWN JEWEL CT",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327920800",
            "telephone_number": "850-624-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3184 CROWN JEWEL CT",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327920800",
            "telephone_number": "850-624-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.