MICHAEL W. BRADBURN (NPI# 1205140811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205140811 |
| Entity Type | Individual |
| Full Name | MICHAEL W. BRADBURN |
| Credential | LCSW |
| Practice Address |
1819 Bay Scott Cir Suite 109 Naperville IL 60540-1129 |
| Practice Telephone | 6303572456 |
| Practice Fax Number | 6303572482 |
| Mailing Telephone | 6303572456 |
| Mailing Fax Number | 6303572482 |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2013-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.008325 | IL | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255746731 | Michael Joseph Bradburn | Family Medicine | 850 Peter Bryce Blvd, Tuscaloosa, AL 35401-7457 | 2014-06-24 |
| Street Address |
1819 BAY SCOTT CIR SUITE 109 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60540-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356337612 | Mark Ramirez | Counselor | 1819 Bay Scott Cir, Ste. 109, Naperville, IL 60540-1129 | 2005-09-22 |
| 1619509221 | David Seisser | Social Worker | 1819 Bay Scott Cir, Naperville, IL 60540-1129 | 2020-02-11 |
| 1912318494 | Donna Fletcher | Social Worker | 1819 Bay Scott Cir, Suite 109, Naperville, IL 60540-1129 | 2014-05-18 |
| 1720429913 | Margaret June Mckenzie | Social Worker | 1819 Bay Scott Cir, Suite 109, Naperville, IL 60540-1129 | 2013-07-16 |
| 1851734909 | William David Duke Jr. | Counselor | 1819 Bay Scott Cir, Ste. 109, Naperville, IL 60540-1129 | 2013-04-08 |
| 1104127471 | Nancy Ann Kratz | Psychologist | 1819 Bay Scott Cir, Suite 109, Naperville, IL 60540-1129 | 2010-11-03 |
| 1336457514 | Dana Beth Wagner | Psychologist | 1819 Bay Scott Cir, Suite 109, Naperville, IL 60540-1129 | 2010-09-21 |
| 1417919598 | Maureen Ann Villageliu | Pediatrics | 1819 Bay Scott Cir, Suite # 105, Naperville, IL 60540-1129 | 2006-04-04 |
| 1497731962 | Dawn Catherine Kroencke | Psychologist | 1819 Bay Scott Cir, Suite 109, Naperville, IL 60540-1129 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
| 1316418957 | James Edward Frank | Counselor | 600 South Washington Street, Suite 302, Naperville, IL 60540 | 2018-12-07 |
| 1093208332 | Ingrid Johnson | Developmental Therapist | Right Start Pediatric Therapies, 50 S Main St Suite 200, Naperville, IL 60540 | 2018-06-12 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1588182190 | Debra Xiangjun Hayes | Acupuncturist | 226 N Washington St # 2, Naperville, IL 60540 | 2017-09-03 |
| 1487197166 | Health Improvement and Preventive Services LLC | Family Medicine | 1979 Mcdowell Rd., Suite 103, Naperville, IL 60540 | 2016-11-29 |
| 1588013775 | Matthew Jacob Imber | Chiropractor | 1220 Hobson Rd Ste 220, Naperville, IL 60540 | 2016-06-08 |
| 1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
| 1265814800 | Jenifer Lynn Mersman | Chiropractor | 475 River Bend Rd. Suite 104, Naperville, IL 60540 | 2015-06-19 |
| 1386038016 | Jonathon Martin Ruiz | Specialist/Technologist | 440 N Brainard Street, Naperville, IL 60540 | 2015-03-19 |
| Find all providers in zip 60540 | ||||
| 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 |
|---|---|---|---|---|
| 1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
| 1861012775 | A Better You Counseling, LLC | Social Worker | 1812 Michigan Ave Apt 212, Naperville, IL 60563-9278 | 2020-04-21 |
| 1790322709 | Melanie Trenkler | Social Worker | 7625 Gladstone Dr Unit 203, Naperville, IL 60565-1123 | 2019-12-09 |
| 1477190627 | Rebecca Manderschied | Social Worker | 1123 Whispering Hills Dr, Naperville, IL 60540-4000 | 2019-12-06 |
| 1659920114 | Lindsay Marie Maxson | Social Worker | 29 S Webster St Ste 290e, Naperville, IL 60540-5356 | 2019-09-08 |
| 1457913089 | Marilyns Family LLC | Social Worker | 1200 Bainbridge Dr, Naperville, IL 60563-2065 | 2019-07-03 |
| 1497239776 | Julie Hetherington | Social Worker | 5083 Switch Grass Ln, Naperville, IL 60564-5368 | 2018-09-21 |
| 1275012361 | Sarah Ghazi | Social Worker | 1555 Naperville Wheaton Rd Ste 103, Naperville, IL 60563-1559 | 2018-08-09 |
| 1386120756 | Samantha Dunne | Social Worker | 5s668 Park Meadow Dr, Naperville, IL 60540-3805 | 2018-07-18 |
| 1164916870 | Kathryn Douma | Social Worker | 800 W 5th Ave Ste 102b, Naperville, IL 60563-4859 | 2018-06-15 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60540 |
Please comment or provide details below to improve the information on MICHAEL W. BRADBURN.
| 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.