Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bradley W Clark, LSCSW, LCAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1427383124

Bradley W Clark, LSCSW, LCAC is a Clinical Social Worker in Wichita, Kansas. Qualified in 2009, 17 years ago. Practices with Behavioral Medicine Specialists, PA, a 5-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
17
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

9333 E 21st St N
Wichita, KS 67206-2927
Phone: (316) 634-4700
Fax: (316) 634-4770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1427383124
Entity typeIndividual (Type 1)
GenderMale
Credentials LSCSW , LCAC
Sole proprietorNo
NPI enumeratedOctober 14, 2009
Last updated in NPPESOctober 22, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Behavioral Medicine Specialists, Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wichita