Julie Bradish

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149017396 Issued in IL

Legal business name

JULIE BRADISH

Practice address

1112 South Blvd
Evanston, IL 60202-2754

Phone

(847) 757-4567

NPI assigned

Aug 27, 2015

Organization subpart

No

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

Authorized official

Name

Julie Bradish, LCSW

Title

Social Worker

Phone

(847) 757-4567

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1508233396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 SOUTH BLVD",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022754",
            "telephone_number": "847-757-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 SOUTH BLVD",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022754",
            "telephone_number": "847-757-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE BRADISH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "BRADISH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "847-757-4567",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Craig Joyce, PA-C
• Emily Joyce, COTA/L
• Jason Joykutty, MD
• Jrspeech
• Lauren Gabrielle Juarez Duran, MSW
• Seungmin Jung, DPT
• Theodora Kapos Jurichko, RPH
• K J Philip MDSC
• Anna Stephanie Kabakov, PHARMD, MBA, BCPS
• Elizabeth Lauren Kacel, PHD

• Clinical Social Worker in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.