Individual provider · Type 1 NPI
Kossouth Edward Bradford, LCSW
Clinical Social Worker · New Haven, CT
Practice location
123 York St Ste 2B
New Haven, CT 06511-5660
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 006695 (CT) |
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 1104091198
Kossouth Edward Bradford, LCSW's National Provider Identifier is 1104091198, issued on Apr 29, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New Haven, CT. The record was last updated on Apr 29, 2008.