BRADLEY ANTENORE (MSW-CC) – Counselor, NPI 1356124804

BRADLEY ANTENORE (MSW-CC) is a healthcare provider. based in Biddeford, Maine. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW-CC. They hold a License No. MC21491 (ME). The NPI Number for BRADLEY ANTENORE (MSW-CC) is 1356124804

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY ANTENORE (MSW-CC)
NPI
1356124804
Phone
(207) 494-8010
Address
419 ALFRED ST
Enumeration Date
17 August 2023
Last Update Date
17 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2074948010
Graduation Year
2022 (4 years ago)
PAC ID
9234644691
Group Practice PAC ID
6800014614
Professional Enrollment ID
I20250715000702
Address ID
ME040053747BI419XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,104 CLINICAL SOCIAL WORKER in ME

Provider Addresses for BRADLEY ANTENORE (MSW-CC)

  • 419 ALFRED ST

    BIDDEFORD, ME 040053747

    Phone: (207) 494-8010

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250715000702IClinical Social WorkerMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04005)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800014614View full group profile
NameSpecialtyState
Clinical Social WorkerME
Clinical Social WorkerME
Clinical Social WorkerME
Clinical Social WorkerTN
Clinical Social WorkerME
Mental Health CounselorME
-ME
Clinical Social WorkerME
Clinical Social WorkerME

Reviews

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Frequently asked questions

What federal number belongs to BRADLEY ANTENORE (MSW-CC)?
The federal identifier for BRADLEY ANTENORE (MSW-CC) is NPI 1356124804.
Is BRADLEY ANTENORE (MSW-CC) active in the national directory?
BRADLEY ANTENORE (MSW-CC)'s public NPI profile is in an active state.
What kind of provider is BRADLEY ANTENORE (MSW-CC)?
The page reflects Counselor for BRADLEY ANTENORE (MSW-CC). Clinical services aligned with this taxonomy classification.
Does BRADLEY ANTENORE (MSW-CC) practice in Maine?
You will see Biddeford, Maine on file for BRADLEY ANTENORE (MSW-CC) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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