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BRADLEY COUNSELING CENTERS LICENSED CLINICAL SOCIAL WORKER CORPORATION
NPI 1275979932
Social Worker - Clinical in Fresno, CA

Active since May 21, 2013
2519 W SHAW AVE, SUITE #100, FRESNO, CA 93711(559) 230-1008(559) 230-1799 Get Directions Write a Review

NPPES record last updated: March 28, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bradley Counseling Centers Licensed Clinical Social Worker Corporation NPPES

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

BRADLEY COUNSELING CENTERS LICENSED CLINICAL SOCIAL WORKER CORPORATION (NPI 1275979932) is a healthcare organization registered as a clinical in Fresno, California and active in the NPI registry since May 2013. The organization lists Sallie Mae Bradley, President, as its authorized official.

NPPES Registry Identity

NPI1275979932
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBRADLEY COUNSELING CENTERS LICENSED CLINICAL SOCIAL WORKER CORPORATION
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
Organization SubpartNo
Authorized OfficialSallie Mae BradleyPresident · (559) 916-7585
Enumeration DateMay 21, 2013
Last NPPES UpdateMarch 28, 2014
✔ NPI 1275979932 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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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradley Counseling Centers Licensed Clinical Social Worker Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bradley Counseling Centers Licensed Clinical Social Worker Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sallie Bradley, LCSW
Clinical Social Worker
NPI 1215195029
2519 W SHAW AVE SUITE #100
Fresno, CA 93711
(559) 230-1008
✔ PECOS✔ Accepts MedicareSame address

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

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 Bradley Counseling Centers Licensed Clinical Social Worker Corporation's NPI number?

The NPI number for Bradley Counseling Centers Licensed Clinical Social Worker Corporation is 1275979932. It was assigned to this organization in the NPPES registry on May 21, 2013.

Where is Bradley Counseling Centers Licensed Clinical Social Worker Corporation located?

Bradley Counseling Centers Licensed Clinical Social Worker Corporation is located at 2519 W Shaw Ave Suite #100, Fresno, CA 93711. The listed phone number is (559) 230-1008.

What is Bradley Counseling Centers Licensed Clinical Social Worker Corporation's specialty?

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

Is Bradley Counseling Centers Licensed Clinical Social Worker Corporation enrolled in Medicare?

Yes. Bradley Counseling Centers Licensed Clinical Social Worker Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bradley Counseling Centers Licensed Clinical Social Worker Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Bradley Counseling Centers Licensed Clinical Social Worker Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bradley Counseling Centers Licensed Clinical Social Worker Corporation was last updated on March 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.