Active NPIIndividual providerSole proprietor

Mr. John V Bradley, LCSW

Social Worker, Clinical in Eugene, Oregon

NPI Number1700042470
Practice location
924 Tivoli Ave, Eugene, OR 97404-1544
Fax
—
Last updated
June 28, 2024

Mr. John V Bradley, LCSW is a Social Worker, Clinical based in Eugene, OR. Mr. John V Bradley, LCSW holds the professional credentials of LCSW. The NPI number for Mr. John V Bradley, LCSW is 1700042470 and holds license No. 5852 (TN). The current practice location address is 924 Tivoli Ave, Eugene, OR 97404-1544 and the office can be reached by phone at 615-495-8780. The NPI was assigned on August 1, 2008 and the record was last updated in NPPES on June 28, 2024.

●Provider Profile Details

NPI Number
1700042470
Provider Name
John Vinson Bradley
Credential
LCSW
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Enumeration Date
August 1, 2008
Last Update Date
June 28, 2024
Certification Date
June 28, 2024
NPI Status
Active

◉Business Practice Location Address

Address
924 Tivoli Ave
Eugene, OR 97404-1544
City
Eugene
State
Oregon
ZIP
97404-1544
Country
US
Phone Number
615-495-8780

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✉Business Mailing Address

Address
924 Tivoli Ave
Eugene, OR 97404-1544
City
Eugene
State
OR
ZIP
97404-1544
Phone Number
615-495-8780

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Social Worker, Clinical1041C0700XYes5852TN

#Other Provider Identifiers

No legacy or other 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 Mr. John V Bradley, LCSW?

The NPI number of Mr. John V Bradley, LCSW is 1700042470. It was assigned on August 1, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. John V Bradley, LCSW?

Mr. John V Bradley, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X) and holds license No. 5852 (TN).

Where does Mr. John V Bradley, LCSW practice?

The practice location is 924 Tivoli Ave, Eugene, OR 97404-1544. The office can be reached at 615-495-8780 (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 1700042470 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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