Individual provider Active NPI

Bradley Eugene Crawford

  • Clinical Social Worker
  • Bowling Green, KY
National Provider Identifier
1821873381
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW00001250 Issued in KY
Practice address
428 Center St
Bowling Green, KY 42101-1223
Phone
(270) 901-5000
NPI assigned
Aug 31, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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 LCSW00001250 KY Primary

Addresses

Primary practice location

428 Center St
Bowling Green, KY 42101-1223

Mailing address

380 Suwannee Trail St
Bowling Green, KY 42103-7956
Phone (270) 901-5000

Other practice location 1

380 Suwannee Trail St
Bowling Green, KY 42103-7956
Phone (270) 901-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260112002526 KY Practitioner - Clinical Social Worker 4486130218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5875 Richpond Rd
Bowling Green, KY 42104-0382

PO Box
Suite 614
Hopkinsville, KY 42241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW00001250KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeskills, Inc. CurrentSince Nov 18, 2025 Accepting new patients

Locations

8324 Eagle Way
Chicago, IL 60678

380 Suwannee Trail St
Bowling Green, KY 42103

822 Woodway St
Bowling Green, KY 42101

428 Center St
Bowling Green, KY 42101

608 Happy Valley Rd
Glasgow, KY 42141
Phone (270) 651-8379

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1821873381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SUWANNEE TRAIL ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037956",
            "telephone_number": "270-901-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 CENTER ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011223",
            "telephone_number": "270-901-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 Suwannee Trail St",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421037956",
            "country_code": "US",
            "telephone_number": "270-901-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "BRADLEY",
        "middle_name": "EUGENE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-31",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "LCSW00001250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.