JILL BRADLEY LCSW LLC
NPI 1629936620
Social Worker - Clinical in Colorado Springs, CO

Active since January 10, 2026
4740 FLINTRIDGE DR STE 220L, COLORADO SPRINGS, CO 80918(719) 459-9037(719) 428-4592 Get Directions Write a Review

NPPES record last updated: January 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jill Bradley Lcsw Llc NPPES

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

JILL BRADLEY LCSW LLC (NPI 1629936620) is a healthcare organization registered as a clinical in Colorado Springs, Colorado and active in the NPI registry since January 2026. The organization lists Jill Michelle Bradley, Licensed Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1629936620
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameJILL BRADLEY LCSW LLC
Location Address4740 FLINTRIDGE DR STE 220LColorado Springs, CO 80918-4273
Mailing Address4740 Flintridge Dr Ste 220lColorado Springs, CO 80918-4273 · (719) 459-9034 · Fax (719) 428-4592
Fax(719) 428-4592
Organization SubpartNo
Authorized OfficialJill Michelle BradleyLicensed Clinical Social Worker · (719) 459-9034
Enumeration DateJanuary 10, 2026
NPPES CertifiedJanuary 10, 2026
✔ NPI 1629936620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
4740 FLINTRIDGE DR STE 220L, Colorado Springs, CO 80918

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)

Jill Bradley Lcsw Llc 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 Jill Bradley Lcsw LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1316262371
4740 FLINTRIDGE DR STE 220M
Colorado Springs, CO 80918
(719) 459-9034
✔ 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 Jill Bradley Lcsw LLC's NPI number?

The NPI number for Jill Bradley Lcsw LLC is 1629936620. It was assigned to this organization in the NPPES registry on January 10, 2026.

Where is Jill Bradley Lcsw LLC located?

Jill Bradley Lcsw LLC is located at 4740 Flintridge Dr Ste 220L, Colorado Springs, CO 80918. The listed phone number is (719) 459-9037.

What is Jill Bradley Lcsw LLC's specialty?

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

Is Jill Bradley Lcsw LLC enrolled in Medicare?

Yes. Jill Bradley Lcsw LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jill Bradley Lcsw LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Jill Bradley Lcsw LLC. 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 Jill Bradley Lcsw LLC was last updated on January 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.