Individual provider · Type 1 NPI

Kevin Bradshaw, LCSW

Clinical Social Worker · Portsmouth, VA

NPI number 1730169012 Active

Practice location

620 John Paul Jones Cir, CODE-1121
Portsmouth, VA 23708-2111

Call (757) 953-5861 Map

Mailing address

303 Effingham St, APT-8-E
Portsmouth, VA 23704-2314

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLSW0000003054 (TN)

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 1730169012

Kevin Bradshaw, LCSW's National Provider Identifier is 1730169012, issued on Jan 20, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portsmouth, VA. The record was last updated on Jul 13, 2026.