Alexcis Jacqueline Bradley, LCSW-S

Key facts

NPI

1609340512

Entity type

Individual (NPI type 1)

Primary specialty

Social Worker 104100000X

Practice address

11901 Toepperwein Rd Ste 1202
Live Oak, TX 78233-3159

Phone

(210) 951-3479

NPI assigned

Jan 14, 2019

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Usawa Wellness Services Mental Health Counselor · Live Oak, TX · NPI 1588185821
  Medicare reassignment NPD TX

Medicare Care Compare profile

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 24, 2025.

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1609340512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 TOEPPERWEIN RD STE 1202",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 TOEPPERWEIN RD STE 1202",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333159",
            "telephone_number": "210-951-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "ALEXCIS",
        "middle_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Live Oak, TX · Social Worker in Texas