Elizabeth Lee Bradley, LMSW
Individual provider Active NPI Social Worker · Walnut Ridge, AR
NPI 1720725856 · NPPES record last updated Mar 11, 2025
Key facts
- NPI
- 1720725856
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 1425 W Main St
Walnut Ridge, AR 72476-1431 - Phone
- (870) 886-5303
- Fax
- (870) 933-9395
- NPI assigned
- May 19, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
1425 W Main St
Walnut Ridge, AR 72476-1431
Mailing address
1815 Pleasant Grove Rd
Jonesboro, AR 72405-7870
Phone (870) 933-6886
Other practice location 1
1815 Pleasant Grove Rd
Jonesboro, AR 72405-7870
Phone (870) 933-6886
Other providers in Walnut Ridge, AR
- Robin Diana Baltz
- Lauren Becker
- Jennifer Beggs
- Stephanie Blake
- Julia Michelle Blevins
- Vickie Renea Brewer Caspall
- Ginger Renae Britton
- Christin Brown
- Cassie Bullard
- William Alexander Burns
All providers in Walnut Ridge, AR · Social Worker in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.