CONNIE G BRADLEY L.C.S.W.
NPI 1669859385
Social Worker - Clinical in Wartburg, TN

Q: What is Connie Bradley's NPI number?

The NPI number for Connie Bradley is 1669859385. It was assigned to this individual provider in the NPPES registry on May 1, 2015.

Q: What is Connie Bradley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Connie Bradley was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 01, 2015PECOS Enrolled

224 OLD MILL RD, WARTBURG, TN 37887(423) 346-6221(423) 346-5565 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2021, Jul 18, 2019 (2 updates tracked since 2019).

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About Connie G Bradley L.c.s.w. NPPES

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

CONNIE G BRADLEY L.C.S.W. (NPI 1669859385) is an individual clinical provider in Wartburg, Tennessee, licensed in Tennessee (7517) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669859385

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCONNIE G BRADLEYCredential: L.C.S.W.

Location Address224 OLD MILL RDWartburg, TN 37887-4163

Mailing AddressPo Box 408Wartburg, TN 37887-0408 · (423) 346-6221 · Fax (423) 346-5565

Phone(423) 346-6221

Fax(423) 346-5565

Sole ProprietorNo

Enumeration DateMay 1, 2015

Last NPPES UpdateMarch 5, 20212 updates tracked since enumeration

NPPES CertifiedMarch 5, 2021

✔ NPI 1669859385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in TN · 7517

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.

Also ListedSocial WorkerTaxonomy 104100000X · License 10355 (TN)

224 OLD MILL RD, Wartburg, TN 37887

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connie G Bradley L.c.s.w. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 37887 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 $52.64 – $160.89

Typical copayment $0.00 (range $13.16 – $40.22)

Most-billed visit code NA

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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 19

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

CHRISTINA LONG N.P.

Nurse Practitioner