Lisa Lee Bradley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

216571 Issued in MA

Practice address

88 Faunce Corner Rd Unit 220
Dartmouth, MA 02747-1261

Phone

(508) 993-3000

Fax

(508) 993-3009

NPI assigned

Sep 22, 2010

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 MA

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cornerstone Wellness Center PCGroup PAC ID 2163873704, 4 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.

• Cornerstone Wellness Center PC

  • Mental Health Counselor
  • Dartmouth, MA
  • NPI 1285418681
  Medicare reassignment Care Compare group NPD
• Olivier Group, P.C.

  • Psychiatric/Mental Health Nurse Practitioner
  • N Dartmouth, MA
  • NPI 1316198690
  Medicare reassignment NPD

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1487962577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 FAUNCE CORNER RD UNIT 220",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471261",
            "telephone_number": "508-993-3000",
            "fax_number": "508-993-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 FAUNCE CORNER RD UNIT 220",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471261",
            "telephone_number": "508-993-3000",
            "fax_number": "508-993-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "LISA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "216571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Joseph Lima Botelho, LMHC
• Melissa K Botelho, P.N.P.
• Tara Ann Boukheir
• Jennifer Lee Bourassa, LPN
• Andrew Christopher Boylan, M.D.
• Breeze Speech and Language Therapy, LLC
• Matthew Brillon, OD
• Benjamin Daniel Brink, MD
• Mary Brogno-Constantine, AGACNP
• Stacey Patricia Brouillette

• Clinical Social Worker in Dartmouth, MA
• Providers in Dartmouth, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.