Active NPIIndividual provider

Stacey Bradford, LCSW

Social Worker, Clinical in Bend, Oregon

NPI Number1780092999
Practice location
2577 NE Courtney Dr, Bend, OR 97701-7638
Fax
—
Last updated
August 19, 2016

Stacey Bradford is a Social Worker, Clinical based in Bend, OR. Stacey Bradford practices in Bend, OR and has the professional credentials of LCSW. The NPI Number for Stacey Bradford is 1780092999 and holds a License No. L7042 (OR). The current practice location address for Stacey Bradford is 2577 NE Courtney Dr, Bend, OR 97701-7638 and can be reached out via phone at 541-330-4625.

Provider Profile Details

NPI Number
1780092999
Provider Name
Stacey Bradford
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
2577 NE Courtney Dr, Bend, OR 97701-7638
Phone Number
541-330-4625
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
July 31, 2014
Last Update Date
August 19, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
2577 NE Courtney Dr
Bend, OR 97701-7638
City
Bend
State
Oregon
Zip
97701-7638
Phone Number
541-330-4625
Bend, OR 97701Get directions →

Provider Business Mailing Address Details

Address
2577 NE Courtney Dr
Bend, OR 97701-7638
City
Bend
State
OR
Zip
97701-7638

License Information

License Number
L7042
License State
OR
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stacey Bradford, LCSW?

The NPI number of Stacey Bradford, LCSW is 1780092999. It was assigned on July 31, 2014 and is currently active in the NPPES registry.

What is the specialty of Stacey Bradford, LCSW?

Stacey Bradford, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in OR under license number L7042.

Where does Stacey Bradford, LCSW practice?

The practice location is 2577 NE Courtney Dr, Bend, OR 97701-7638. The office can be reached at 541-330-4625 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780092999 directly on the NPPES registry website.

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