Syreeta Bratton, LSW, LCADC
Individual provider Active NPI Social Worker · Wilmington, DE
NPI 1942904685 · NPPES record last updated Jan 20, 2025
Key facts
- NPI
- 1942904685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- Q3-0000095 (DE)
- Practice address
- 1601 Kirkwood Hwy
Wilmington, DE 19805-4917 - Phone
- (302) 994-2511
- NPI assigned
- Mar 28, 2023
- 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 |
|---|---|---|---|
| 37LC00304900 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| Q3-0000095 | DE | MD | Social Worker |
| 44SL06035900 | NJ | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00304900 | NJ | |
| Social Worker | 104100000X | 44SL06035900 | NJ | |
| Social Worker | 104100000X | Q3-0000095 | DE | Yes |
Addresses
Primary practice location
1601 Kirkwood Hwy
Wilmington, DE 19805-4917
Mailing address
1601 Kirkwood Hwy
Wilmington, DE 19805-4917
Phone (302) 994-2511
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 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.