Betty Bradford, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1700389 Issued in OH

Practice address

1703 N Memorial Dr
Lancaster, OH 43130-1634

Phone

(740) 653-6145

NPI assigned

Jun 4, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1508358748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 CULPEPPER DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430687255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 N MEMORIAL DR",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301634",
            "telephone_number": "740-653-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "BETTY",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Bowman, LSW
• Kevin Karl Bowman, MD
• Tracy J Bowman, CT
• Garry Dewayne Boyd, D.D.S.
• Jessie Marie Boyer, MSW,LSW
• Ryan Braglin, LPC
• Grant Richard Brame, MSPAS, PA-C
• Charles Branch Jr., CDCA
• Amanda L Brandenburg, LICDC QMHS
• Joshua Wayne Branham

• Clinical Social Worker in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.