Individual provider · Type 1 NPI

Shamika J. Bradshaw

Clinical Social Worker · Waco, TX

NPI number 1396489902 Active

Practice location

2200 Ross Ave
Waco, TX 76706-2744

Mailing address

4332 Blackwell St
Waco, TX 76705-2213

Other practice locations

  • 1612 Columbus Ave, Waco, TX 76701-1125 · (254) 224-1586

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X66697 (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 1396489902

Shamika J. Bradshaw's National Provider Identifier is 1396489902, issued on Apr 21, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waco, TX. The record was last updated on Apr 21, 2022.