Debra Sue Bradin, MSW, LCSW, LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SL05822000 Issued in NJ

Practice address

11 Garden St Ste 306
Mount Holly, NJ 08060-1947

Phone

(856) 979-6557

NPI assigned

Apr 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Healing Hour, LLCGroup PAC ID 0941778047, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Healing Hour, LLC

  • Mental Health Counselor
  • New Milford, NJ
  • NPI 1467210724

  NJ

  Medicare reassignment Care Compare group
• Phoenix Treatment Center LLC

  • Social Worker
  • Mount Holly, NJ
  • NPI 1497478259

  NJ

  Medicare reassignment NPD

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1487409694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GARDEN ST STE 306",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601947",
            "telephone_number": "856-979-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 GARDEN ST STE 306",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601947",
            "telephone_number": "856-979-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADIN",
        "first_name": "DEBRA",
        "middle_name": "SUE",
        "credential": "MSW, LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL05822000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annabelle Sung-Hye Jeong Bocelli, FNP-C, WCC
• Nana Serwa Bonsu, BSN, RN
• Julie Borlaug
• Nichole Bosack, LPN
• Nissa Erin Boykin
• James Robert Brandt, DO
• Breshelle Brown, FNP
• Christine Anne Brown, APN,C.
• Tiesh Brown
• Delores Iranise Bunch, BS, MHS

• Clinical Social Worker in Mount Holly, NJ
• Providers in Mount Holly, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.

Verify at the official NPI Registry.