Nicole Marie Bradbury, LCSW
NPI 1366119927ActiveIndividual· Social Worker, Clinical· Cottonwood, AZ
Social Worker, Clinical (LCSW) with St Croix Regional Family Health Center, practicing in Cottonwood, Arizona. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1366119927 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Aug 23, 2021 |
| Last updated in NPPES | Aug 20, 2024 |
| Certified by provider | Aug 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 67013 | TX |
| Social Worker, Clinical | 1041C0700X | 20183 | AZ |
| Social Worker, Clinical | 1041C0700X | LC23732 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 | 2017 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- St Croix Regional Family Health CenterPrinceton, ME · 21 clinicians
Other clinical social workers in Cottonwood
- 1184164618
- 1336549146
- 1427239011
- 1548961048
- 1053509521
- 1073579306
- 1346860525
- 1487509154
- 1760228225
- 1598231706
- 1730637109
- 1912944380
All 24 clinical social workers in Cottonwood · All clinical social workers in Arizona