Mary L Bradford is a Clinical in Tulsa, Oklahoma. Mary L Bradford practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary L Bradford is 1699718841. The last update date is 2015-08-22.
Mary L Bradford's current location address is 1502s Boulder Ave 22h, Tulsa, Oklahoma. You can contact this provider via phone number 9187452236 and fax number 9183925969. The mailing address for Mary L Bradford is 1502s Boulder Ave 22h, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary L Bradford |
|---|---|
| Address | 1502s Boulder Ave 22h, Tulsa, Oklahoma |
| Phone Number | 9187452236 |
| Fax Number | 9183925969 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1699718841 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2015-08-22 |
Provider Mailing Address Detail
| Address | 1502s Boulder Ave 22h |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741194027 |
| Phone Number | 9187452236 |
| Fax Number | 9183925969 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1156 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1156 | OK | STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mary L Bradford by the Centers for Medicare & Medicaid Services?
The Mary L Bradford has been issued the NPI (National Provider Identifier) 1699718841, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mary L Bradford is located?
The Mary L Bradford is situated at the following address: 1502S Boulder Ave 22H, Tulsa, OK, 741194027.
What is the Mary L Bradford's area of specialization and corresponding taxonomy classification?
The Mary L Bradford's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1699718841 to Mary L Bradford?
The Mary L Bradford received its 1699718841 assignment from the Centers for Medicare & Medicaid Services on 2006-06-14.
When was the Mary L Bradford's information last updated?
The Mary L Bradford's information was last updated on 2015-08-22.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC