Lisa A Bradley is a Clinical in Ludington, Michigan. Lisa A Bradley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa A Bradley is 1154310720. The last update date is 2007-07-08.
Lisa A Bradley's current location address is 409 W Ludington Ave, Ludington, Michigan. You can contact this provider via phone number 2318438877 and fax number 2318450264. The mailing address for Lisa A Bradley is 409 W Ludington Ave, Ludington, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa A Bradley |
|---|---|
| Address | 409 W Ludington Ave, Ludington, Michigan |
| Phone Number | 2318438877 |
| Fax Number | 2318450264 |
| Sole Proprietor | X |
| Credentials | ACSW |
NPI Number Detail
| NPI Number | 1154310720 |
|---|---|
| Provider Enumeration Date | 2005-10-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 409 W Ludington Ave |
|---|---|
| City | Ludington |
| State | Michigan (MI) |
| Post Code | 494312377 |
| Phone Number | 2318438877 |
| Fax Number | 2318450264 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LB064630 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lisa A Bradley by the Centers for Medicare & Medicaid Services?
The Lisa A Bradley has been assigned the NPI (National Provider Identifier) 1154310720 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Lisa A Bradley is physically located?
The Lisa A Bradley is physically situated at the following address: 409 W Ludington Ave, Ludington, MI, 494312377.
What is Lisa A Bradley's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lisa A Bradley is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When did the Lisa A Bradley receive its 1154310720?
The Lisa A Bradley was issued its 1154310720 on 2005-10-17, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Lisa A Bradley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lisa A Bradley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY