1. Home
  2. Directory
  3. Illinois
  4. Pontiac
  5. Social Worker
  6. NPI Profile

JAYME EVELYN BRADSHAW LCSW
NPI 1780316166
Social Worker - Clinical in Pontiac, IL

Active since June 25, 2022PECOS Enrolled
735 S LOCUST ST, PONTIAC, IL 61764(815) 690-7170 Get Directions Write a Review

NPPES record last updated: June 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jayme Evelyn Bradshaw Lcsw NPPES

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

JAYME EVELYN BRADSHAW LCSW (NPI 1780316166) is an individual clinical provider in Pontiac, Illinois, licensed in Illinois (149014853) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1780316166
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJAYME EVELYN BRADSHAWCredential: LCSW
Location Address735 S LOCUST STPontiac, IL 61764-2632
Mailing Address735 S Locust StPontiac, IL 61764-2632 · (815) 690-7170
Phone(815) 690-7170
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJune 25, 2022
NPPES CertifiedJune 25, 2022
✔ NPI 1780316166 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 IL · 149014853
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.
735 S LOCUST ST, Pontiac, IL 61764
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jayme Evelyn Bradshaw Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345697751
PECOS Enrollment IDI20231107001535
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 61764 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 $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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 Jayme Bradshaw's NPI number?

The NPI number for Jayme Bradshaw is 1780316166. It was assigned to this individual provider in the NPPES registry on June 25, 2022.

Where is Jayme Bradshaw located?

Jayme Bradshaw practices at 735 S Locust St, Pontiac, IL 61764. The listed phone number is (815) 690-7170.

What is Jayme Bradshaw's specialty?

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

Is Jayme Bradshaw enrolled in Medicare?

Yes. Jayme Bradshaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jayme Bradshaw was last updated on June 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.