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

Michael W. Bradburn, LCSW

Individual provider Counselor · NPI 1205140811

Michael W. Bradburn, LCSW is a Clinical Social Worker in Naperville, Illinois. Qualified in 1995, 31 years ago. Practices with Samaritan Interfaith Counseling Center Inc, a 19-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
31
Licensed in
IL
In the registry since
2010
Specialties on file
4
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

1819 Bay Scott Cir Ste 109
Naperville, IL 60540-1129
Phone: (630) 357-2456
Fax: (630) 357-2482
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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 · Licence 149.008325 (IL)
Counselor Taxonomy 101Y00000X
Pastoral Counselor Taxonomy 101YP1600X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1205140811
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 6, 2010
Last updated in NPPESAugust 1, 2013

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Samaritan Interfaith Counseling Center Inc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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