Estella Bradley

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

120 N Dudley St
Americus, GA 31709-3410

Phone

(229) 931-2470

NPI assigned

Feb 3, 2017

Last updated

Feb 3, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Estella Lusane Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1699213256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1348",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317091348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N DUDLEY ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093410",
            "telephone_number": "229-931-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "ESTELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESTELLA",
            "last_name": "LUSANE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Karl Andrew Bond, BA, CPS-WH
• Alicia Bonner
• Tyrisha Boone
• Debra Ann Bowden, R.N.
• Ann Bowens, RN, BSN
• Kamaria Samone Branscomb, PMHNP
• Deidre Katrice Brantley
• Brittany Monique Broner
• Brianna Rae Brown, LMFT
• Charles Steven Brown

• Clinical Social Worker in Americus, GA
• Providers in Americus, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.