Individual provider · Type 1 NPI

Leah Devae Bradshaw

Clinical Social Worker · Charlotte, NC

NPI number 1043843725 Active

Practice location

3000 Latrobe Dr Ste B
Charlotte, NC 28211-5227

Call (704) 780-4271 Map

Fax (888) 261-6694

Mailing address

250 Executive Park Blvd Ste 120
Winston Salem, NC 27103-1534

Other practice locations

  • 250 Executive Park Blvd Ste 120, Winston Salem, NC 27103-1534 · (336) 577-0966

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Clinical Social Worker Primary 1041C0700XP018030 (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 1043843725

Leah Devae Bradshaw's National Provider Identifier is 1043843725, issued on Feb 20, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Aug 17, 2023.