National Provider Identifier Database

WINIFRED WILLIAMS BRADSHAW, MS, CRC, LCPC – NPI #1639504079
Professional

Contact Information

WINIFRED WILLIAMS BRADSHAW, MS, CRC, LCPC
329 W 102ND PL
CHICAGO, IL  60628-1916
Phone: 847-461-8718
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X
Contractor 171W00000X
Counselor 101Y00000X
Driver 172A00000X
Genetic Counselor, MS 170300000X
Mental Health 101YM0800X
Psychoanalyst 102L00000X
Religious Nonmedical Practitioner 374K00000X
Social Worker 104100000X

* Indicates primary specialty

NPI Profile & details for WINIFRED WILLIAMS BRADSHAW

NPI Number 1639504079
Credentials MS, CRC, LCPC
Entity Individual
Enumeration date 09/04/2013
Last updated 02/23/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 180008522
Hospital affiliation n/a

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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