Individual provider · Type 1 NPI

Kelly Bradford

Clinical Social Worker · Independence, KS

NPI number 1386906394 Active

Practice location

1101 Donald Ave
Independence, KS 67301-2001

Mailing address

PO Box 688
Independence, KS 67301-0688

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X995 (KS)
Clinical Social Worker Primary 1041C0700X4705 (KS)

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 1386906394

Kelly Bradford's National Provider Identifier is 1386906394, issued on Jun 14, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Independence, KS. The record was last updated on Aug 28, 2017.