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MALLORY BRADLEY
NPI 1063950152
Social Worker - Clinical in Manasquan, NJ

Active since February 08, 2017PECOS Enrolled
1211 MINNEHAHA TRL, MANASQUAN, NJ 08736(732) 539-2018 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2020, Feb 8, 2017 (2 updates tracked since 2017).

About Mallory Bradley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY BRADLEY (NPI 1063950152) is an individual clinical provider in Manasquan, New Jersey, licensed in New Jersey (44SC05719700) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Morganville.

NPPES Registry Identity

NPI1063950152
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMALLORY BRADLEY
Location Address1211 MINNEHAHA TRLManasquan, NJ 08736-2022
Mailing Address1211 Minnehaha TrlManasquan, NJ 08736-2022 · (732) 539-2018
Phone(732) 539-2018
Sole ProprietorNo
Enumeration DateFebruary 8, 2017
Last NPPES UpdateMay 6, 20202 updates tracked since enumeration
NPPES CertifiedMay 6, 2020
✔ NPI 1063950152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC05719700
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1211 MINNEHAHA TRL, Manasquan, NJ 08736
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Secondary Practice Location 1

Location 11118 Campus DrMorganville, NJ 07751-1261 · Phone (732) 817-0103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallory Bradley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mallory Bradley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Service Professionals Of Nj LLC
47 mi
Geriatric Medicine
125 CHUBB AVE, SUITE 100-S
Lyndhurst, NJ 07071
  • Reassigned Medicare billing, New Jersey enrollment
  • 71 clinicians in this Medicare group
NPI 1972044923 (201) 559-7600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08736 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $61.59 – $185.05
Typical copayment $0.00 (range $15.39 – $46.26)
Most-billed visit code NA
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Bradley's NPI number?

The NPI number for Mallory Bradley is 1063950152. It was assigned to this individual provider in the NPPES registry on February 8, 2017.

Where is Mallory Bradley located?

Mallory Bradley practices at 1211 Minnehaha Trl, Manasquan, NJ 08736. The listed phone number is (732) 539-2018.

What is Mallory Bradley's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mallory Bradley enrolled in Medicare?

Yes. Mallory Bradley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mallory Bradley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Bradley reassigns Medicare benefits to Medical Service Professionals Of Nj LLC (Lyndhurst, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mallory Bradley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mallory Bradley was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.