Lauren Nicole Bradley, LMSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

106972 Issued in NY

Practice address

17 E 102ND St FL 7
New York, NY 10029-5204

Phone

(212) 824-2345

NPI assigned

Aug 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656720000000",
    "number": "1639726722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 LINCOLN PL",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074632130",
            "telephone_number": "914-539-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E 102ND ST FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295204",
            "telephone_number": "212-824-2345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Lincoln Pl",
            "address_purpose": "LOCATION",
            "city": "Waldwick",
            "state": "NJ",
            "postal_code": "074632130",
            "country_code": "US",
            "telephone_number": "914-539-6475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "LAUREN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LMSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2022-07-02",
        "certification_date": "2022-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06497400",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "106972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Bradley, PSYD
• Ishmeal Earl Bradley, MD, MPH
• Joseph Thomas Bradley, STUDENT
• Katrina Suzanne Bradley, MD
• Lauren Bradley
• Linda Joyce Bradley, CSW
• Mackenzie Anne Bradley, OD
• Margaret Bradley, PT OCS
• Mark Vincent Bradley, M.D.
• Shannon Poplin Bradley, LCAT, ATR-BC

• Social Worker in New York, NY
• Providers in New York, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.