SUSAN L BRADSHAW LCSW
NPI 1154339422
Marriage & Family Therapist in Valdosta, GA

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
3790 OLD US 41 N STE A, VALDOSTA, GA 31602(229) 262-1000 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Susan L Bradshaw Lcsw NPPES

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

SUSAN L BRADSHAW LCSW (NPI 1154339422) is an individual marriage & family therapist in Valdosta, Georgia, licensed in Georgia (000865) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Valdosta, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1154339422
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSUSAN L BRADSHAWCredential: LCSW
Location Address3790 OLD US 41 N STE AValdosta, GA 31602-6865
Mailing Address2704 N Oak St, Building B-3Valdosta, GA 31602-1744 · (229) 257-0100 · Fax (229) 257-0050
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 3, 2006
Last NPPES UpdateMarch 4, 2024
NPPES CertifiedMarch 4, 2024
NPI 1154339422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in GA · 000865
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

3790 OLD US 41 N STE A, Valdosta, GA 31602

Secondary Practice Location 1

Location 12704 N Oak St, Building B-3Valdosta, GA 31602-1744 · Phone (229) 257-0100 · Fax (229) 257-0050

Other Identifiers 1

Medicaid592486097AGA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Susan L Bradshaw Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810335932
PECOS Enrollment IDI20240409000550
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
3790 OLD US 41 N STE A
VALDOSTA, GA 31602

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 Susan Bradshaw's NPI number?

The NPI number for Susan Bradshaw is 1154339422. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Susan Bradshaw located?

Susan Bradshaw practices at 3790 Old Us 41 N Ste A, Valdosta, GA 31602. The listed phone number is (229) 262-1000.

What is Susan Bradshaw's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Susan Bradshaw enrolled in Medicare?

Yes. Susan Bradshaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Susan Bradshaw accept?

Health plans from Providence Health Plan list Susan Bradshaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Bradshaw was last updated on March 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.