Individual provider · Type 1 NPI

Shirley R. Bradley I, LMSW

Clinical Social Worker · Waterbury, CT

NPI number 1871092205 Active

Practice location

141 E Main St Fl 1
Waterbury, CT 06702-2310

Mailing address

141 E Main St Fl 4
Waterbury, CT 06702-2310

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X11193 (CT)
Clinical Social Worker Primary 1041C0700X17396 (SC)
Social Worker 104100000X1413 (CT)

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 1871092205

Shirley R. Bradley I, LMSW's National Provider Identifier is 1871092205, issued on Feb 12, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waterbury, CT. The record was last updated on Dec 16, 2024.