Stephen James Bradley, LICSW, LMHC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117405 Issued in MA

Practice address

8 Trumbull Rd
Suite 202
Northampton, MA 01060-3079

Phone

(413) 588-8423

Fax

(888) 981-8746

NPI assigned

Dec 2, 2006

Last updated

Dec 22, 2016By 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 MA

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

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Moonbeam Counseling LLC

  dba Moonbeam Counseling

  • Clinical Social Worker
  • Northampton, MA
  • NPI 1558963157
  NPD (past)

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1972671261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 914",
            "city": "HAYDENVILLE",
            "state": "MA",
            "postal_code": "010390914",
            "telephone_number": "413-522-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 TRUMBULL RD",
            "address_2": "SUITE 202",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603079",
            "telephone_number": "413-588-8423",
            "fax_number": "888-981-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "STEPHEN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "LICSW, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-02",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4592",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie D. Bowlby, LICSW
• Annabelle Boyd
• Robert Dewey Boynton Jr., D.D.S.
• Anna Louisa Boysen, BA
• Bruce Bradley-Gilbert, LMHC, ATR
• Natalie Brady, M.ED., LICSW
• Rachel Elizabeth Brady, BA
• Amy Braman, LPN
• Aaron Brandes
• Robert Brandt, PH.D.

• Clinical Social Worker in Northampton, MA
• Providers in Northampton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.