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MS. SALLIE M. BRADLEY LCSW
NPI 1215195029
Social Worker - Clinical in Fresno, CA

Active since May 28, 2008PECOS EnrolledAccepts Medicare Assignment
2519 W SHAW AVE, SUITE #100, FRESNO, CA 93711(559) 230-1008(559) 230-1799 Get Directions Write a Review

NPPES record last updated: May 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Sallie M. Bradley Lcsw NPPES

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

MS. SALLIE M. BRADLEY LCSW (NPI 1215195029) is an individual clinical provider in Fresno, California, licensed in California (LW11249) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1215195029
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SALLIE M. BRADLEYCredential: LCSW
Location Address2519 W SHAW AVE, SUITE #100Fresno, CA 93711-3311
Mailing AddressPo Box 27065Fresno, CA 93729-7065 · (559) 916-7585 · Fax (559) 230-1799
Phone(559) 230-1008
Fax(559) 230-1799
Sole ProprietorYes
Medical School CMSOtherGraduated 1974
Enumeration DateMay 28, 2008
✔ NPI 1215195029 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 CA · LW11249
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.
2519 W SHAW AVE, Fresno, CA 93711
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Other Identifiers 2

Medicare PINZZZ17418ZCA
Medicare UPINS72149CA

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

Ms. Sallie M. Bradley 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 ID2769456896
PECOS Enrollment IDI20040824000510
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93711 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 $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

Other Providers at the Same Location NPPES 2

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

BRADLEY COUNSELING CENTERS LICENSED CLINICAL SOCIAL WORKER CORPORATION
Social Worker (Clinical)
2519 W SHAW AVE, SUITE #100
FRESNO, CA 93711
Fresno County (559) 230-1008
MANUELA BARRAGAN
Marriage & Family Therapist
2519 W SHAW AVE
FRESNO, CA 93711
Fresno County (559) 290-7142

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 Sallie Bradley's NPI number?

The NPI number for Sallie Bradley is 1215195029. It was assigned to this individual provider in the NPPES registry on May 28, 2008.

Where is Sallie Bradley located?

Sallie Bradley practices at 2519 W Shaw Ave Suite #100, Fresno, CA 93711. The listed phone number is (559) 230-1008.

What is Sallie Bradley's specialty?

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

Is Sallie Bradley enrolled in Medicare?

Yes. Sallie Bradley 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.

When was this NPI record last updated?

The NPPES record for Sallie Bradley was last updated on May 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.