Nannette D Bradley, LCSW
Individual provider Active NPI Clinical Social Worker · Gardner, MA
NPI 1043356181 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043356181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 3031514 (MA)
- Practice address
- 55 Lake St
Gardner, MA 01440-3876 - Phone
- (508) 849-5648
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3031514 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3031514 | MA | Yes |
Addresses
Primary practice location
55 Lake St
Gardner, MA 01440-3876
Mailing address
55 Lake St
Gardner, MA 01440-3876
Other providers in Gardner, MA
- Sanjay Reddy Bommu
- Jack R Borey
- Emily Bostock
- Debra Boucher
- Taylor K Boudreau
- Keireny Brady
- Peter Brassard
- Shauna Brierly
- Sarah Agatha Briggs
- Kirsten Marie Bright
All providers in Gardner, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.