Active NPI
Bradley Alan Foss, MSW
- Clinical Social Worker
- Saint Croix Falls, WI
National Provider Identifier
1861776676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18252
- Practice address
- 112 N Madison St
Saint Croix Falls, WI 54024-9144 - Phone
- (715) 483-3800
- Fax
- (715) 483-9801
- NPI assigned
- Sep 29, 2011
- 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 | 18252 | MN | Primary |
Addresses
Primary practice location
112 N Madison St
Saint Croix Falls, WI 54024-9144
Mailing address
112 N Madison St
Saint Croix Falls, WI 54024-9144
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18252 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424217600000",
"number": "1861776676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 N MADISON ST",
"city": "SAINT CROIX FALLS",
"state": "WI",
"postal_code": "540249144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 N MADISON ST",
"city": "SAINT CROIX FALLS",
"state": "WI",
"postal_code": "540249144",
"telephone_number": "715-483-3800",
"fax_number": "715-483-9801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSS",
"first_name": "BRADLEY",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-29",
"last_updated": "2015-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "18252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Croix Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.