Individual provider Active NPI

Judith Alicia Bradford, LCSW

  • Clinical Social Worker
  • Dover, DE
National Provider Identifier
1720001670
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q10000383 Issued in DE
Practice address
9 E. Loockerman St.
Treadway Towers
Dover, DE 19901
Phone
(302) 678-7866
Fax
(302) 678-7866
NPI assigned
Jul 25, 2006
Last updated
Oct 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q10000383 DE Primary

Addresses

Primary practice location

9 E. Loockerman St.
Treadway Towers
Dover, DE 19901

Mailing address

9 E. Loockerman St.
Treadway Towers
Dover, DE 19901
Phone (302) 678-7866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
State of Delaware Past Accepting new patients
Catholic Charities Inc Clinical Past Accepting new patients
State of Delaware Past Accepting new patients
A Center for Human Development LTD Clinical PastSince Jan 19, 2006 Accepting new patients
F.H. Everett & Assoc. Inc Clinical Past Accepting new patients
Phoenix Behavioral Health Services Past Accepting new patients
Amna Medical Center, LLC Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1720001670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 E. LOOCKERMAN ST.",
            "address_2": "TREADWAY TOWERS",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "19901",
            "telephone_number": "302-678-7866",
            "fax_number": "302-678-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 E. LOOCKERMAN ST.",
            "address_2": "TREADWAY TOWERS",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "19901",
            "telephone_number": "302-678-7866",
            "fax_number": "302-678-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "JUDITH",
        "middle_name": "ALICIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q10000383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.