Individual provider · NPI-1

Leah Bradley, LICSW

Social Worker, Clinical · Stoughton, MA

NPI number1710437884
StatusActive
Last updated in NPPESOct 12, 2016

Details

NPI
1710437884
Entity type
Individual (NPI-1)
Name
Leah Bradley
Credential
LICSW
Sex
Female
Sole proprietor
No
Enumeration date
Oct 12, 2016
Last updated
Oct 12, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical111153MAYes

Practice location

450 Pearl St
Suite 3
Stoughton, MA 02072-1610

Phone 781-344-0057 · Fax 781-344-0027

Mailing address

81 6th St
Norwood, MA 02062-4852

Phone 781-551-8886 · Fax 781-255-2086

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Social Worker, Clinical providers in Stoughton, MA