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MS. SHARON LEE BONNELLBRADLEY LICSW
NPI 1366510307
Counselor - Mental Health in Medford, MA

Active since November 30, 2006PECOS EnrolledAccepts Medicare Assignment
84 HIGH ST, SUITE 2B, MEDFORD, MA 02155(781) 391-1640(781) 391-1640 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Sharon Lee Bonnellbradley Licsw NPPES

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

MS. SHARON LEE BONNELLBRADLEY LICSW (NPI 1366510307) is an individual mental health provider in Medford, Massachusetts, licensed in Massachusetts (1024763) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1366510307
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. SHARON LEE BONNELLBRADLEYCredential: LICSW
Location Address84 HIGH ST, SUITE 2BMedford, MA 02155-3844
Mailing Address84 High St, Suite 2bMedford, MA 02155-3844 · (781) 391-1640 · Fax (781) 391-1640
Phone(781) 391-1640
Fax(781) 391-1640
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1366510307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MA · 1024763
84 HIGH ST, Medford, MA 02155
Open in Google Maps ↗

Other Identifiers 11

Other003450MA · Value Options Provider Id
Other314436MA · Mbc Provider Id
Other986151MA · Network Provider Id
OtherP07505MA · Bcbsprovider Id
Other550010005757MA · Pacificare Provider Id
Other7925159MA · Aetna Provider Id
Medicaid1851489MA
Other1013390MA · Beacon Health Strategies
Other793613MA · Tufts Provider Id
Other003450MA · Mbhp Provider Id
Medicare ID-Type UnspecifiedP21070MA · Provider Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and more.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

Ms. Sharon Lee Bonnellbradley Licsw 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 ID1355370537
PECOS Enrollment IDI20050808000973
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 15

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

MR. WILLIAM FRANK SCALISE LICSW
Social Worker (Clinical)
84 HIGH ST, SUITE 2A
MEDFORD, MA 02155
Middlesex County (781) 393-0009
MS. ELLEN RUTH KRUGER L.I.C.S.W.
Counselor (Mental Health)
84 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 393-0009
DR. ANTHONY GIAMBERARDINO DMD
Dentist (General Practice)
84 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 396-3800
ANNE CIASULLO
Physical Therapist
84 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 391-0303
MS. RHONDA LEE BLACK LICSW
Social Worker (Clinical)
84 HIGH ST, SUITE 2A
MEDFORD, MA 02155
Middlesex County (781) 393-0009
SUSAN SHANNON
Occupational Therapist
84 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 391-0303
THERESE H VENEDIKIAN DMD PC
Dentist (Prosthodontics)
84 HIGH ST, STE 7
MEDFORD, MA 02155
Middlesex County (781) 393-8877
BETH B. SCHMITT, LICSW, PC
Counselor (Mental Health)
84 HIGH ST, SUITE2A
MEDFORD, MA 02155
Middlesex County (781) 662-4890

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 Sharon Bonnellbradley's NPI number?

The NPI number for Sharon Bonnellbradley is 1366510307. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Sharon Bonnellbradley located?

Sharon Bonnellbradley practices at 84 High St Suite 2B, Medford, MA 02155. The listed phone number is (781) 391-1640.

What is Sharon Bonnellbradley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Sharon Bonnellbradley enrolled in Medicare?

Yes. Sharon Bonnellbradley 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 Sharon Bonnellbradley accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Sharon Bonnellbradley 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 Sharon Bonnellbradley was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.