Active NPI
Bradford Vincent Leary, LCSW
- Clinical Social Worker
- Belmont, CA
National Provider Identifier
1770829038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS24887
- Practice address
- 1053 Alameda de Las Pulgas
Belmont, CA 94002-3507 - Phone
- (650) 245-5367
- NPI assigned
- Dec 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS24887 | CA | Primary |
Addresses
Primary practice location
1053 Alameda de Las Pulgas
Belmont, CA 94002-3507
Mailing address
1053 Alameda de Las Pulgas
Belmont, CA 94002-3507
Phone (650) 245-5367
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130411000564 | CA | Practitioner - Clinical Social Worker | 7315183670 | Practice locations: Palm Springs, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Palm Springs, CA 92262
Phone (650) 245-5367
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24887 | CA | MD | Social Worker |
| LCS24887 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432857600000",
"number": "1770829038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1053 ALAMEDA DE LAS PULGAS",
"city": "BELMONT",
"state": "CA",
"postal_code": "940023507",
"telephone_number": "650-245-5367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1053 ALAMEDA DE LAS PULGAS",
"city": "BELMONT",
"state": "CA",
"postal_code": "940023507",
"telephone_number": "650-245-5367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEARY",
"first_name": "BRADFORD",
"middle_name": "VINCENT",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-13",
"last_updated": "2015-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS24887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belmont, CA
- Hannah Beryl Lammert, ASW
- Rochelle Hochhauser Lane, L.AC.,OMD
- Michael Edward Lara Jr., M.D.
- Latino Commission on Alcohol and Drug Abuse Services of San Mateo Coun
- Uyen Thuc Le, M.D.
- Emma Yan Hiu Lee Chou, OTR/L; OCCUPATIONAL
- Amy Lee
- Gary Timothy Lee, M.D.
- Valerie Anne Lee, PT DPT
- Rosario C. Legasto, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.