Bradford Louis Madreperl in Long Branch - Clinical
Bradford Louis Madreperl - NPI 1679748826
Bradford Louis Madreperl is a Clinical in Long Branch, New Jersey. Bradford Louis Madreperl practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bradford Louis Madreperl is 1679748826. The last update date is 2008-04-29.
Bradford Louis Madreperl's current location address is 45 Memorial Pkwy, Long Branch, New Jersey. You can contact this provider via phone number 7322290800 and fax number 7322290800. The mailing address for Bradford Louis Madreperl is 45 Memorial Pkwy, Long Branch, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradford Louis Madreperl |
|---|---|
| Address | 45 Memorial Pkwy, Long Branch, New Jersey |
| Phone Number | 7322290800 |
| Fax Number | 7322290800 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1679748826 |
|---|---|
| Provider Enumeration Date | 2008-04-29 |
| Last Updated Date | 2008-04-29 |
Provider Mailing Address Detail
| Address | 45 Memorial Pkwy |
|---|---|
| City | Long Branch |
| State | New Jersey (NJ) |
| Post Code | 77406720 |
| Phone Number | 7322290800 |
| Fax Number | 7322290800 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 44SC00032400 |
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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 assigned to Bradford Louis Madreperl by the Centers for Medicare & Medicaid Services?
The Bradford Louis Madreperl has been issued the NPI (National Provider Identifier) 1679748826 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Bradford Louis Madreperl is located?
The Bradford Louis Madreperl is situated at the following address: 45 Memorial Pkwy, Long Branch, NJ, 77406720.
What is the Bradford Louis Madreperl's specialty and taxonomy code?
The Bradford Louis Madreperl's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Bradford Louis Madreperl receive the assignment of its 1679748826 from the Centers for Medicare & Medicaid Services?
The Bradford Louis Madreperl was issued its 1679748826 by the Centers for Medicare & Medicaid Services on 2008-04-29.
As of what date were the details related to Bradford Louis Madreperl most recently updated or revised?
The information pertaining to Bradford Louis Madreperl, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-29.