Alexandra Bradford, LCSW-C
Social Worker, Clinical in Baltimore, MD. Individual provider (NPI-1).
NPI number1982169975
StatusActive
Last updated in NPPESJan 20, 2022
Details
- NPI
- 1982169975
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Alexandra Bradford
- Credential
- LCSW-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 5, 2019
- Certification date
- Jan 20, 2022
- Last updated
- Jan 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 22832 | MD | Yes |
| 104100000X | Social Worker | 22832 | MD |
Practice location
4710 Pennington AveBaltimore, MD 21226-1405
Phone 410-355-3285
Mailing address
2518 E Fairmount AveBaltimore, MD 21224-1133
Phone 410-725-9444
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