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Contact Information

JENNIFER K BRADLEY, LCSW
10004 KENNERLY RD STE 362B
SAINT LOUIS, MO63128-2178
 Phone: 314-525-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JENNIFER K BRADLEY · (Female)

NPI # 1942518261
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 09/21/2010
Last updated 10/19/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 149015702
  • MO License # 2013035767
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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