Anne Marshall Bradford, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P018013 Issued in NC

Practice address

157 E Franklin St Ste 9
Chapel Hill, NC 27514-3562

Phone

(919) 886-4052

NPI assigned

Jul 26, 2022

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

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.

• Third Wave Psychotherapy, PLLC

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1205219763
  NPD

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1508592205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 SIX FORKS RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 E FRANKLIN ST STE 9",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275143562",
            "telephone_number": "919-886-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "ANNE",
        "middle_name": "MARSHALL",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Marie Bozik, PHARM D
• Andrea Cathryn Bozoki, M.D.
• Kathryn Grace Brack, RN
• Jennifer Beth Brackett, M.A. ED
• Kristen Anne Brackett, SLP
• Kathleen K Bradford, MD
• Evan J Bradley, LP, RN
• Kristen Elizabeth Bradley, SLP
• Lauren Brittain Bradley, LCSW
• Carter Bradshaw

• Clinical Social Worker in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.