Individual provider · Type 1 NPI

Mark Bradley

Clinical Social Worker · Fort Polk, LA

NPI number 1053727156 Active

Practice location

1585 3rd St, Bjach
Fort Polk, LA 71459-5102

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X02212 (TX)

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 1053727156

Mark Bradley's National Provider Identifier is 1053727156, issued on Jul 9, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Polk, LA. The record was last updated on Jul 9, 2014.