Stacy Bradley
Individual provider Active NPI Clinical Social Worker · Holly Springs, NC
NPI 1679723852 · NPPES record last updated Dec 30, 2025
Key facts
- NPI
- 1679723852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- P022353 (NC)
- Practice address
- 380 Raleigh St
Holly Springs, NC 27540-9047 - Phone
- (919) 521-5372
- NPI assigned
- Sep 24, 2008
- 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 |
|---|---|---|---|
| P022353 | NC | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | P022353 | NC | Yes |
Addresses
Primary practice location
380 Raleigh St
Holly Springs, NC 27540-9047
Mailing address
380 Raleigh St
Holly Springs, NC 27540-9047
Phone (919) 521-5372
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- Danielle Brandenburg
- Brent R Neidenthal DDS
- Jody Lametta Bresee
- Tishira R Brewington-Williams
- Joe Brewton
All providers in Holly Springs, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2025. 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.