Bradley Antenore, MSW-CC
NPI 1356124804ActiveIndividual· Counselor· Biddeford, ME
Counselor (MSW-CC) in Biddeford, Maine, licensed in ME, with an NPI issued in August 2023. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1356124804 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW-CC |
| Sole proprietor | No |
| NPI issued | Aug 17, 2023 |
| Last updated in NPPES | Aug 17, 2023 |
| Certified by provider | Aug 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | MC21491 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (ME) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
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