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Contact Information

SHIRLEY R BRADLEY I, LMSW
141 E MAIN ST FL 1
WATERBURY, CT06702-2310
 Phone: 203-756-7287
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for SHIRLEY R BRADLEY I · (Female)

NPI # 1871092205
Status Active
Credentials LMSW (Licensed Master Social Worker)
Entity Individual
Enumeration date 02/12/2018
Last updated 12/16/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CT License # 11193
  • CT License # 1413
  • SC License # 17396
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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