Individual provider Active NPI

Elizabeth Hope Bradbury, LCSW

  • Clinical Social Worker
  • Blacksburg, VA
National Provider Identifier
1487494290
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904016174 Issued in VA
Practice address
3573 Mount Zion Rd
Blacksburg, VA 24060-0735
Phone
(540) 250-7366
NPI assigned
May 29, 2024
Last updated
May 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 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 0904016174 VA Primary

Addresses

Primary practice location

3573 Mount Zion Rd
Blacksburg, VA 24060-0735

Mailing address

3573 Mount Zion Rd
Blacksburg, VA 24060-0735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20241106000013 VA Practitioner - Clinical Social Worker 8628502283 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904016174VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New River Valley Community Services CurrentSince Jun 18, 2024 Accepting new patients
New River Valley Community Services CurrentSince Jun 18, 2024 Accepting new patients

Locations

700 University City Blvd
Blacksburg, VA 24060
Phone (540) 961-8300

705 Wenonah Ave
Pearisburg, VA 24134
Phone (540) 921-2238

327 N Washington Ave
Pulaski, VA 24301
Phone (540) 994-5023

401 W Main St
Radford, VA 24141
Phone (540) 838-8000

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": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1487494290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3573 MOUNT ZION RD",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240600735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3573 MOUNT ZION RD",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240600735",
            "telephone_number": "540-250-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADBURY",
        "first_name": "ELIZABETH",
        "middle_name": "HOPE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.