KEITH BRADSHAW (NPI# 1740716489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740716489 |
| Entity Type | Individual |
| Full Name | KEITH BRADSHAW |
| Credential | LCSW |
| Practice Address |
2730 S Val Vista Dr Gilbert AZ 85295-1675 |
| Practice Telephone | 4804718560 |
| Practice Fax Number | 8889798197 |
| Mailing Telephone | 4804718560 |
| Mailing Fax Number | 8889798197 |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-14027 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457761652 | Keith Allen Bradshaw | Counselor | 18750 N 6750 E, Mount Pleasant, UT 84647-2309 | 2014-04-28 |
| Street Address |
2730 S VAL VISTA DR |
| City | GILBERT |
| State | AZ |
| Zip Code | 85295-1675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407848369 | M. Kathleen Mcbride | Social Worker | 2730 S Val Vista Dr, Suite 135, Gilbert, AZ 85295-1675 | 2005-08-17 |
| 1134698566 | Titilayo Grant | Nurse Practitioner | 2730 S Val Vista Dr, Gilbert, AZ 85295-1675 | 2018-11-14 |
| 1427584473 | Vincent Liou | Physician Assistant | 2730 S Val Vista Dr, #161, Gilbert, AZ 85295-1675 | 2017-05-11 |
| 1558897439 | Az Choice Foot and Ankle | Podiatrist | 2730 S Val Vista Dr, Suite 136, Gilbert, AZ 85295-1675 | 2017-05-11 |
| 1477004935 | Pediatric Adult Endocrine Gilbert | Pediatrics | 2730 S Val Vista Dr, Bldg 10, Suite 161, Gilbert, AZ 85295 | 2016-10-20 |
| 1124481031 | Catherine Surovy | Counselor | 2730 S Val Vista Dr, #137, Gilbert, AZ 85295-1675 | 2016-03-30 |
| 1619333549 | Kara Sell | Nurse Practitioner | 2730 S Val Vista Dr, Suit 146, Gilbert, AZ 85295-1675 | 2016-01-07 |
| 1952766149 | Mark Waldrop II | Counselor | 2730 S Val Vista Dr, Suites 146 & 137, Gilbert, AZ 85295-1675 | 2015-12-15 |
| 1003293606 | Mark Wesbrock | Registered Nurse | 2730 S Val Vista Dr, Suite 137, Gilbert, AZ 85295-1675 | 2015-05-03 |
| 1356728513 | Amanda Dewbray | Psychologist | 2730 S Val Vista Dr, Ste 146, Gilbert, AZ 85295-1675 | 2015-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471368 | Lifequest Holding Company Gilbert, LLC | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1255946075 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1407467962 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 | 2020-08-10 |
| 1275187718 | Guylene Lucien | Nurse Practitioner | 1689 S. Parkcrest Street, Gilbert, AZ 85295 | 2019-08-01 |
| 1326607144 | Hand Up Behavioral Services, LLC | Community/Behavioral Health | 4145 East Megan Street, Gilbert, AZ 85295 | 2019-06-06 |
| 1629582069 | Victoria Munoz Garcia | Naturopath | 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 | 2017-11-21 |
| 1649798752 | Eureka Imperial Residence | Clinic/Center | 633 E Ray Road, Gilbert, AZ 85295 | 2017-09-08 |
| 1447791496 | Janine Patrice Faux | Counselor | 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 | 2017-03-10 |
| 1437690450 | Erskine & Barber LLC | Clinic/Center | 5656 S. Power Rd #129, Gilbert, AZ 85295 | 2017-03-09 |
| 1164965448 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 774 E. Buffalo St, Chandler, AZ 85295 | 2016-11-18 |
| Find all providers in zip 85295 | ||||
| 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 |
|---|---|---|---|---|
| 1497395867 | Bethany Mcdonald | Social Worker | 132 W Bruce Ave, Gilbert, AZ 85233-5404 | 2020-01-13 |
| 1083263453 | Jessica Shoff | Social Worker | 70 S Val Vista Dr Ste A3-659, Gilbert, AZ 85296-1374 | 2019-09-09 |
| 1578118527 | Clara Latese Davis | Social Worker | 1525 S Higley Rd Ste 104, Gilbert, AZ 85296-5045 | 2019-08-07 |
| 1255995627 | Suzanne Renee Walker | Social Worker | 3887 E Santa Fe Ln, Gilbert, AZ 85297-3537 | 2019-04-30 |
| 1184190316 | Amanda Royce | Social Worker | 4332 E Marshall Ave, Gilbert, AZ 85297-6648 | 2018-10-15 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1215410600 | Jordan Helms | Social Worker | 323 S Gilbert Rd Ste 209, Gilbert, AZ 85296-1659 | 2018-09-11 |
| 1992227235 | East Valley Trauma Counseling LLC | Social Worker | 1166 E Warner Rd Ste 206, Gilbert, AZ 85296-3066 | 2017-07-07 |
| 1952754384 | Iona Dease | Social Worker | 632 W Horseshoe Ave, Gilbert, AZ 85233-6371 | 2016-07-20 |
| 1396115242 | Lavon J Schmidt | Social Worker | 4635 E Sourwood Dr, Gilbert, AZ 85298-4618 | 2015-10-05 |
| Find all providers in GILBERT | ||||
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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.