Individual provider · Type 1 NPI

Dianne M. Bradley, LCSW

Clinical Social Worker · Elizabethtown, KY

NPI number 1750666152 Active

Practice location

100 Par Ln Ste 102
Elizabethtown, KY 42701-9059

Call (423) 817-8818 Map

Mailing address

121 Lavenia Ln
Magnolia, KY 42757-7823

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X0904008413 (VA)
Clinical Social Worker 1041C0700X5837 (TN)
Clinical Social Worker 1041C0700XLC50081103 (DC)
Clinical Social Worker Primary 1041C0700X256419 (KY)

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 1750666152

Dianne M. Bradley, LCSW's National Provider Identifier is 1750666152, issued on Oct 17, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elizabethtown, KY. The record was last updated on Jan 10, 2023.