Individual provider Active NPI

Rasha Nechelle Bradford, LMSW-C, QIDP, QMHP

  • Clinical Social Worker
  • Plymouth, MI
National Provider Identifier
1609329986
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801121559 Issued in MI
Practice address
40500 Ann Arbor Rd E Ste 200a
Plymouth, MI 48170-4498
Phone
(734) 408-1149
NPI assigned
Aug 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801121559 MI Primary
Social Worker 104100000X 6801121559 MI
Other Technician 247200000X

Addresses

Primary practice location

40500 Ann Arbor Rd E Ste 200a
Plymouth, MI 48170-4498

Mailing address

40500 Ann Arbor Rd E Ste 200a
Plymouth, MI 48170-4498
Phone (734) 408-1149

Other practice location 1

3225 Van Horn Rd Ste 110
Trenton, MI 48183-7000
Phone (734) 408-1149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20260305004025 MI Practitioner - Clinical Social Worker 0244712420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801121559MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jan 27, 2026 Accepting new patients
Prime Counseling Services LLC Clinical Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1609329986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40500 ANN ARBOR RD E STE 200A",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704498",
            "telephone_number": "734-408-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40500 ANN ARBOR RD E STE 200A",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704498",
            "telephone_number": "734-408-1149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3225 Van Horn Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "MI",
            "postal_code": "481837000",
            "country_code": "US",
            "telephone_number": "734-408-1149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "RASHA",
        "middle_name": "NECHELLE",
        "credential": "LMSW-C, QIDP, QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801121559",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801121559",
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.