Mallory Bradley
Social Worker, Clinical in Manasquan, New Jersey
1063950152- Practice location
- 1211 Minnehaha Trl, Manasquan, NJ 08736-2022
- Phone
- 732-539-2018
- Fax
- —
- Last updated
- May 6, 2020
Mallory Bradley is a Social Worker, Clinical based in Manasquan, NJ. Mallory Bradley practices in Manasquan, NJ. The NPI Number for Mallory Bradley is 1063950152 and holds a License No. 44SC05719700 (NJ). The current practice location address for Mallory Bradley is 1211 Minnehaha Trl, Manasquan, NJ 08736-2022 and can be reached out via phone at 732-539-2018.
Provider Profile Details
- NPI Number
- 1063950152
- Provider Name
- Mallory Bradley
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1211 Minnehaha Trl, Manasquan, NJ 08736-2022
- Phone Number
- 732-539-2018
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 8, 2017
- Last Update Date
- May 6, 2020
- Certification Date
- May 6, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1211 Minnehaha Trl
Manasquan, NJ 08736-2022 - City
- Manasquan
- State
- New Jersey
- Zip
- 08736-2022
- Phone Number
- 732-539-2018
Provider Business Mailing Address Details
- Address
- 1211 Minnehaha Trl
Manasquan, NJ 08736-2022 - City
- Manasquan
- State
- NJ
- Zip
- 08736-2022
- Phone Number
- 732-539-2018
License Information
- License Number
- 44SC05719700
- License State
- NJ
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mallory Bradley?
The NPI number of Mallory Bradley is 1063950152. It was assigned on February 8, 2017 and is currently active in the NPPES registry.
What is the specialty of Mallory Bradley?
Mallory Bradley is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05719700.
Where does Mallory Bradley practice?
The practice location is 1211 Minnehaha Trl, Manasquan, NJ 08736-2022. The office can be reached at 732-539-2018 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063950152 directly on the NPPES registry website.