Jill Bradley Lcsw LLC
Social Worker, Clinical in Colorado Springs, CO. Organization (NPI-2).
NPI number1629936620
StatusActive
Last updated in NPPESJan 10, 2026
Details
- NPI
- 1629936620
- Entity type
- Organization (NPI-2)
- Legal business name
- Jill Bradley Lcsw LLC
- Organization subpart
- No
- Enumeration date
- Jan 10, 2026
- Certification date
- Jan 10, 2026
- Last updated
- Jan 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
4740 Flintridge Dr Ste 220lColorado Springs, CO 80918-4273
Phone 719-459-9037 · Fax 719-428-4592
Mailing address
4740 Flintridge Dr Ste 220lColorado Springs, CO 80918-4273
Phone 719-459-9034 · Fax 719-428-4592
Authorized official
Jill Michelle Bradley
Licensed Clinical Social Worker
7194599034
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