ANN BRADY (LMSW) – Clinical Social Worker, NPI 1235731902

ANN BRADY (LMSW) is a healthcare provider. based in Grand rapids, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 33009903A (IN). The NPI Number for ANN BRADY (LMSW) is 1235731902

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ANN BRADY (LMSW)
NPI
1235731902
Phone
(616) 336-3909
Address
790 FULLER AVE NE
Enumeration Date
9 November 2020
Last Update Date
13 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6168255412
Graduation Year
2020 (6 years ago)
PAC ID
4082052659
Group Practice PAC ID
9436314143
Professional Enrollment ID
I20240402000129
Address ID
MI495031918GR790XXNEXX400
Telehealth
Yes

Contacts

Secure Messaging
pcerecords.network180.x@direct.mihin.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness95
Years active:5State licenses:3Other names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for ANN BRADY (LMSW)

  • 790 FULLER AVE NE

    GRAND RAPIDS, MI 495031918

    Phone: (616) 336-3909

    Fax: (616) 336-8830

    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: 2024-04-02

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
I20240402000129IClinical Social WorkerMITBD

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 49503)

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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: 9436314143View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
P S Y C H I A T R YMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI
P S Y C H I A T R YMI

Reviews

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Frequently asked questions

How do I look up ANN BRADY (LMSW) by NPI?
Use NPI 1235731902 when you need to reference ANN BRADY (LMSW) in forms, claims, or directories.
Is ANN BRADY (LMSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ANN BRADY (LMSW)?
The page reflects Clinical Social Worker for ANN BRADY (LMSW). Clinical services aligned with this taxonomy classification.
What location metadata exists for ANN BRADY (LMSW)?
The page summarizes Grand Rapids, Michigan for ANN BRADY (LMSW); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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