THEODORE BRADFORD (NPI# 1558494674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558494674 |
| Entity Type | Individual |
| Full Name | THEODORE BRADFORD |
| Credential | LICSW |
| Practice Address |
1368 Beacon St Suite 102 Brookline MA 02446-2872 |
| Mailing Address |
26 Lee St Boston MA 02130-3225 |
| Practice Telephone | 6175040435 |
| Mailing Telephone | 6175040435 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
110584 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS PROVIDER NUMBER | P07761 | 01 |
| Street Address |
1368 BEACON ST SUITE 102 |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02446-2872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033164769 | Judy Osborne | Counselor | 1368 Beacon St, #108, Brookline, MA 02446 | 2006-05-23 |
| 1912569617 | Jennifer Grace Forrester | Clinical Neuropsychologist | 1368 Beacon St, Brookline, MA 02446-2872 | 2019-07-02 |
| 1043453137 | Neal Mcgrath, Ph.d. & Associates, P.C. | Clinical Neuropsychologist | 1368 Beacon St, Suite 116, Brookline, MA 02446-2872 | 2009-04-20 |
| 1861656027 | Brie A Insalaco | Clinical Neuropsychologist | 1368 Beacon St, Suite 116, Brookline, MA 02446-2872 | 2008-07-16 |
| 1831357243 | Kathy Joy Seltzer | Acupuncturist | 1368 Beacon St, Suite 110, Brookline, MA 02446-2872 | 2008-06-02 |
| 1679742647 | Barbara J Bowe | Social Worker | 1368 Beacon St, Suite 115, Brookline, MA 02146 | 2008-02-25 |
| 1376711366 | Wai C Lee | Dentist | 1368 Beacon St, Suite 105, Brookline, MA 02446 | 2008-02-13 |
| 1013101740 | Peter W Lee | Dentist | 1368 Beacon St, Suite 105, Brookline, MA 02446-2872 | 2007-09-06 |
| 1962531095 | Blair S. Gelbond | Social Worker | 1368 Beacon St, Suite 108, Brookline, MA 02446-2872 | 2007-03-05 |
| 1952445884 | Barry Meklir | Physical Therapist | 1368 Beacon St, Suite 110, Brookline, MA 02446-2872 | 2007-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218127 | Mohammad Ali Zafar | Social Worker | 11 Stearns Rd Apartment#1, Brookline, MA 02446 | 2019-08-01 |
| 1730659368 | Boston Family Therapy & Wellness Pllc | Clinic/Center | 1330 Beacon Street Suite 263, Brookline, MA 02446 | 2018-11-27 |
| 1518442078 | Elizabeth Dorsey | Social Worker | Boston Graduate School of Psychoanalysis, 1581 Beacon Street, Brookline, MA 02446 | 2018-10-01 |
| 1467936732 | Helen Elizabeth Weiner | Social Worker | 6 Churchill Sstreet, Brookline, MA 02446 | 2018-09-21 |
| 1285116640 | Dawn Higgins | Social Worker | 227 Summit Avenue W304, Brookline, MA 02446 | 2018-09-03 |
| 1528540978 | Shana Joan Turowitz | Social Worker | 156 Lawton Street, Brookline, MA 02446 | 2018-09-02 |
| 1528563996 | Lauren H Shin | Pediatrics | 150 Pleasant St Unit 309, Brookline, MA 02446 | 2018-03-28 |
| 1821512872 | Ilana Lindsay Cooper | Psychologist | 1093 Beacon St Ste 401, Brookline, MA 02446 | 2017-08-01 |
| 1538683735 | Elizabeth Apkin | Psychologist | 1330 Beacon Street Suite 201, Brookline, MA 02446 | 2017-07-29 |
| 1366963258 | Maria Antonietta Mazzola | Psychiatry & Neurology | 57 Manchester Rd, Brookline, MA 02446 | 2017-06-29 |
| Find all providers in zip 02446 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821609926 | Tracy Wallach | Social Worker | 96 Browne St Apt 1, Brookline, MA 02446-7257 | 2020-08-12 |
| 1639780158 | Lisa Solomon | Social Worker | 45 Kendall St, Brookline, MA 02445-7549 | 2020-08-10 |
| 1720633506 | Run Feng | Social Worker | 1131 Beacon St Ste 1-c, Brookline, MA 02446-5531 | 2019-08-07 |
| 1588218127 | Mohammad Ali Zafar | Social Worker | 11 Stearns Rd Apartment#1, Brookline, MA 02446 | 2019-08-01 |
| 1417415365 | Janice Holton | Social Worker | 63 Powell St, Brookline, MA 02446-3928 | 2019-03-11 |
| 1801350475 | Anna Katia Zbikowski | Social Worker | 1470 Beacon St Apt 2, Brookline, MA 02446-2613 | 2019-01-28 |
| 1346718822 | Lauren Hunter | Social Worker | 1330 Beacon St Ste 202, Brookline, MA 02446-3202 | 2018-11-02 |
| 1518432673 | Lois Lange | Social Worker | 349 Clark Road, Brookline, MA 02445 | 2018-10-04 |
| 1518442078 | Elizabeth Dorsey | Social Worker | Boston Graduate School of Psychoanalysis, 1581 Beacon Street, Brookline, MA 02446 | 2018-10-01 |
| 1194200790 | Shira Davis | Social Worker | 82 Atherton Rd, Brookline, MA 02446-2769 | 2018-09-28 |
| Find all providers in BROOKLINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.