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

Jayme Evelyn Bradshaw, LCSW

Individual provider Clinical Social Worker · NPI 1780316166

Jayme Evelyn Bradshaw, LCSW is a Clinical Social Worker in Pontiac, Illinois. Qualified in 2007, 19 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
19
Licensed in
IL
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

735 S Locust St
Pontiac, IL 61764-2632
Phone: (815) 690-7170
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149014853 (IL)

Record details

NPI number1780316166
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 25, 2022
Last updated in NPPESJune 25, 2022
Certification dateJune 25, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated

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