Individual provider · Type 1 NPI

Angelene Bradley, MA

Clinical Social Worker · South Bend, IN

NPI number 1629302302 Active

Practice location

611 Lincoln Way E
South Bend, IN 46601-3220

Call (574) 232-2255 Map

Fax (574) 246-0171

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1629302302

Angelene Bradley, MA's National Provider Identifier is 1629302302, issued on Sep 28, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Bend, IN. The record was last updated on Sep 28, 2009.