Shirley R Bradley I, LMSW
Social Worker, Clinical in Waterbury, Connecticut
1871092205- Practice location
- 141 E Main St Fl 1, Waterbury, CT 06702-2310
- Phone
- 203-756-7287
- Fax
- —
- Last updated
- December 16, 2024
Shirley R Bradley is a Social Worker, Clinical based in Waterbury, CT. Shirley R Bradley practices in Waterbury, CT and has the professional credentials of LMSW. The NPI Number for Shirley R Bradley is 1871092205 and holds a License No. 11193 (CT). The current practice location address for Shirley R Bradley is 141 E Main St Fl 1, Waterbury, CT 06702-2310 and can be reached out via phone at 203-756-7287.
Provider Profile Details
- NPI Number
- 1871092205
- Provider Name
- Shirley R Bradley
- Credential
- LMSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 141 E Main St Fl 1, Waterbury, CT 06702-2310
- Phone Number
- 203-756-7287
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 12, 2018
- Last Update Date
- December 16, 2024
- Certification Date
- December 16, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 141 E Main St Fl 1
Waterbury, CT 06702-2310 - City
- Waterbury
- State
- Connecticut
- Zip
- 06702-2310
- Phone Number
- 203-756-7287
Provider Business Mailing Address Details
- Address
- 141 E Main St Fl 4
Waterbury, CT 06702-2310 - City
- Waterbury
- State
- CT
- Zip
- 06702-2310
- Phone Number
- 203-574-9000
- Fax Number
- 203-574-9006
License Information
- License Number (1)
- 11193
- License State (1)
- CT
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 17396
- License State (2)
- SC
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
- License Number (3)
- 1413
- License State (3)
- CT
- Taxonomy (3)
- Social Worker · 104100000X
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 Shirley R Bradley I, LMSW?
The NPI number of Shirley R Bradley I, LMSW is 1871092205. It was assigned on February 12, 2018 and is currently active in the NPPES registry.
What is the specialty of Shirley R Bradley I, LMSW?
Shirley R Bradley I, LMSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 11193.
Where does Shirley R Bradley I, LMSW practice?
The practice location is 141 E Main St Fl 1, Waterbury, CT 06702-2310. The office can be reached at 203-756-7287 (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 1871092205 directly on the NPPES registry website.