| Lisa A Bradley, ACSW | |
|
409 W Ludington Ave, Suite 307, Ludington, MI 49431-2377 | |
| (231) 843-8877 | |
| (231) 845-0264 |
| Full Name | Lisa A Bradley |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 34 Years |
| Location | 409 W Ludington Ave, Ludington, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154310720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LB064630 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lighthouse Associates Llc | 0547403867 | 7 |
| Entity Name | Lighthouse Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053759589 PECOS PAC ID: 0547403867 Enrollment ID: O20130905000101 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A Bradley, ACSW 409 W Ludington Ave, Suite 307, Ludington, MI 49431-2377 Ph: (231) 843-8877 | Lisa A Bradley, ACSW 409 W Ludington Ave, Suite 307, Ludington, MI 49431-2377 Ph: (231) 843-8877 |
Sara Durand, BSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 | |
Brooke Taylor, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 | |
Kaitlyn Rose Pscodna, MSW, LGSW, RDN, CSSD Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7052 Abrahamson Rd, Ludington, MI 49431 Phone: 612-405-4251 | |
James Michael Foley, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 | |
Alicia M Kaja, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5705 W Johnson Rd, Ludington, MI 49431 Phone: 231-425-4414 | |
Mr. Barry Alan Blacktop, MA, CSW, LLP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 Diana St, Ludington, MI 49431 Phone: 231-845-6294 Fax: 231-845-7095 |