Bradley Justice, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2506669 Issued in OH

Practice address

1609 Lakewood Ave Apt 8
Lakewood, OH 44107-4953

Phone

(216) 302-4077

NPI assigned

May 14, 2025

Last updated

Feb 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in OH, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cornerstone Behavioral Health LLCGroup PAC ID 4385000587, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cornerstone Behavioral Health LLC

  • Mental Health Counselor
  • Lakewood, OH
  • NPI 1700407517
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, DC, OH

  Medicare reassignment NPD
• Washington Wellness Institute, LLC

  • Mental Health Counselor
  • Cleveland, OH
  • NPI 1871155176
  NPD

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1740071398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 BIMNI DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454595407",
            "telephone_number": "859-533-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 LAKEWOOD AVE APT 8",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074953",
            "telephone_number": "216-302-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "BRADLEY",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-14",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2506669",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904019944",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Jorgensen, CNP
• Kathleen Jouriles
• Celia Joyce, LSW
• Julie Branch Counseling
• Jessica Marie Jurcak, MS, MPH, RD LD
• Mohamad Kalash, MD
• Thomas E. Kavanagh, D.D.S.
• Samantha Kavander, RDN
• Kazsmer Counseling Service Inc
• Karen Ann Kazsmer, M.A., LPCC

• Clinical Social Worker in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.