Individual provider · Type 1 NPI

De'erik Lamontae Bradley, LCSWA

Clinical Social Worker · Charlotte, NC

NPI number 1023789344 Active

Practice location

2901 Coltsgate Rd Ste 202
Charlotte, NC 28211-4384

Call (704) 980-3082 Map

Fax (704) 980-3082

Mailing address

700 East Blvd Ste 1
Charlotte, NC 28203-5156

Other practice locations

  • 700 East Blvd Ste 1, Charlotte, NC 28203-5156 · (704) 980-3082

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XPO15273 (NC)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1023789344

De'erik Lamontae Bradley, LCSWA's National Provider Identifier is 1023789344, issued on Sep 27, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Mar 19, 2023.