BRADLEY ALLAN LAKE (LMSW) – Social Worker, NPI 1083261705
Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,821 CLINICAL SOCIAL WORKER in MI
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Provider Addresses for BRADLEY ALLAN LAKE (LMSW)
4131, Clippert Street, Dearborn Heights, Wayne County, Michigan, 48125, United States
DEARBORN HEIGHTS, MI 481252732
Phone: (313) 680-0019
Type: Mailing
2925, Russell Street, Forest Park, Midtown, Detroit, Wayne County, Michigan, 48207, United States
DETROIT, MI 482074825
Phone: (313) 396-5300
Fax: (313) 396-5353
Type: Location
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: 2022-02-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220201000183 | I | Clinical Social Worker | MI | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 92 | 12 | $0 |
Insurance plans in this area (ZIP 48125)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Clinical Social Worker | MI | |
| - | IN | |
| Clinical Social Worker | MI | |
| Clinical Psychologist | MI | |
| Clinical Social Worker | WI | |
| Clinical Social Worker | MI | |
| - | MI | |
| Clinical Social Worker | MI | |
| Clinical Psychologist, Mental Health Counselor | IL |
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