Active NPIIndividual providerSole proprietor

Shari L Bradley, LMSW

Social Worker, Clinical in Georgetown, Kentucky

NPI Number1174116313
Practice location
201 S Broadway St, Georgetown, KY 40324-1300
Fax
—
Last updated
December 23, 2024

Shari L Bradley is a Social Worker, Clinical based in Georgetown, KY. Shari L Bradley practices in Georgetown, KY and has the professional credentials of LMSW. The NPI Number for Shari L Bradley is 1174116313 and holds a License No. 4018 (CT). The current practice location address for Shari L Bradley is 201 S Broadway St, Georgetown, KY 40324-1300 and can be reached out via phone at 203-885-8292.

Provider Profile Details

NPI Number
1174116313
Provider Name
Shari L Bradley
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
201 S Broadway St, Georgetown, KY 40324-1300
Phone Number
203-885-8292
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 18, 2021
Last Update Date
December 23, 2024
Certification Date
December 23, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 S Broadway St
Georgetown, KY 40324-1300
Zip
40324-1300
Phone Number
203-885-8292
Georgetown, KY 40324Get directions →

Provider Business Mailing Address Details

Address
583 Brownstone Rdg
Meriden, CT 06451-3628
City
Meriden
State
CT
Zip
06451-3628
Phone Number
203-885-8292

License Information

License Number (1)
4018
License State (1)
CT
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
11835
License State (2)
CT
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Shari L Bradley, LMSW?

The NPI number of Shari L Bradley, LMSW is 1174116313. It was assigned on February 18, 2021 and is currently active in the NPPES registry.

What is the specialty of Shari L Bradley, LMSW?

Shari L Bradley, LMSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 4018.

Where does Shari L Bradley, LMSW practice?

The practice location is 201 S Broadway St, Georgetown, KY 40324-1300. The office can be reached at 203-885-8292 (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 1174116313 directly on the NPPES registry website.

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