THEODORE BRADFORD LICSW
NPI 1558494674
Social Worker - Clinical in Brookline, MA

Active since March 14, 2007
1368 BEACON ST, SUITE 102, BROOKLINE, MA 02446(617) 504-0435 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theodore Bradford Licsw NPPES

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

THEODORE BRADFORD LICSW (NPI 1558494674) is an individual clinical provider in Brookline, Massachusetts, licensed in Massachusetts (110584) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1558494674
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTHEODORE BRADFORDCredential: LICSW
Location Address1368 BEACON ST, SUITE 102Brookline, MA 02446-2872
Mailing Address26 Lee StBoston, MA 02130-3225 · (617) 504-0435
Sole ProprietorYes
Enumeration DateMarch 14, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1558494674 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 MA · 110584
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.
1368 BEACON ST, Brookline, MA 02446

Other Identifiers 2

OtherP07761MA · Bcbs Provider Number
Medicare ID-Type UnspecifiedP22316MA · Provider Number

Other Providers at the Same Location NPPES 13

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

Counselor (Mental Health)
1368 BEACON ST, #108
BROOKLINE, MA 02446
Clinical Neuropsychologist
1368 BEACON ST, SUITE 116
BROOKLINE, MA 02446
Social Worker (Clinical)
1368 BEACON ST
BROOKLINE, MA 02446
Dentist
1368 BEACON ST, SUITE 105
BROOKLINE, MA 02446
Social Worker (Clinical)
1368 BEACON ST, STE 108
BROOKLINE, MA 02446
Social Worker (Clinical)
1368 BEACON ST, SUITE 102
BROOKLINE, MA 02446
Social Worker (Clinical)
1368 BEACON ST, SUITE 115
BROOKLINE, MA 02446
Social Worker (Clinical)
1368 BEACON ST, SUITE 108
BROOKLINE, MA 02446

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 Theodore Bradford's NPI number?

The NPI number for Theodore Bradford is 1558494674. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Theodore Bradford located?

Theodore Bradford practices at 1368 Beacon St Suite 102, Brookline, MA 02446. The listed phone number is (617) 504-0435.

What is Theodore Bradford's specialty?

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

When was this NPI record last updated?

The NPPES record for Theodore Bradford was last updated on July 8, 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.