Bradley Lake, LMSW
NPI 1083261705 · Social Worker · Detroit, MI
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bradley Lake, LMSW is a Social Worker provider in Detroit, MI (NPI 1083261705).
Provider details
- NPI number
- 1083261705
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- No
- License
- 6801113780 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-08-19
- Last updated
- 2022-07-12
- Certified
- 2022-07-12
Frequently asked questions
- What is Bradley Lake's NPI number?
- Bradley Lake's National Provider Identifier (NPI) is 1083261705, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bradley Lake's specialty?
- Bradley Lake is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Bradley Lake located?
- Bradley Lake's practice location on file with NPPES is 2925 Russell St, Detroit, MI 48207-4825.
- What is Bradley Lake's phone number?
- The practice phone number listed in the NPPES registry for Bradley Lake is (313) 396-5300.
- Does Bradley Lake accept Medicare?
- Bradley Lake is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bradley Lake's NPI active?
- Yes — Bradley Lake's NPI (1083261705) is active in the NPPES registry as of the last update on 2022-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.