Patricia Hayman Bradshaw LCSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R036739-1 Issued in NY

Legal business name

PATRICIA HAYMAN BRADSHAW LCSW PC

Practice address

85 S Union St
Suite 205
Spencerport, NY 14559-1255

Phone

(585) 349-2829

Fax

(585) 349-2767

NPI assigned

May 21, 2012

Organization subpart

No

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

Authorized official

Name

Patricia Hayman Bradshaw, LCSW

Title

President

Phone

(585) 349-2829

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1659631992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S UNION ST",
            "address_2": "SUITE 205",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591255",
            "telephone_number": "585-349-2829",
            "fax_number": "585-349-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S UNION ST",
            "address_2": "SUITE 205",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591255",
            "telephone_number": "585-349-2829",
            "fax_number": "585-349-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA HAYMAN BRADSHAW LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "HAYMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-349-2829",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R036739-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danita N Pagan, LPN
• Timothy Page, MA CAS
• Kristin Maria Palmer, R.N.
• Hannah Parkes, M.S. CCC-SLP
• Patricia Hayman Bradshaw LCSW
• Katelyn May Peers, LCSW
• Janet E Plucknette
• Karly Suk Polka, DDS
• Tira Lynn Pratt, LPN
• John Prokop, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.