Individual provider · Type 1 NPI

Kelly Lynn Bradshaw, LCSW-A

Clinical Social Worker · Kinston, NC

NPI number 1619757028 Active

Practice location

2204 Stanton Rd
Kinston, NC 28504-1428

Call (252) 468-1941 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP018875 (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 1619757028

Kelly Lynn Bradshaw, LCSW-A's National Provider Identifier is 1619757028, issued on Oct 3, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kinston, NC. The record was last updated on Oct 3, 2023.