Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY ALLAN LAKE, LMSW
ActiveBRADLEY ALLAN LAKE, LMSW is a Social Worker healthcare provider located in DETROIT, Michigan. NPI 1083261705 is currently active in the NPPES registry. Verify at CMS.
Social Worker · DETROIT, MI
Registration Details
- NPI Number
- 1083261705
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2019 (7.0116087289507 yrs)
- Last Updated
- Jul 12, 2022
- Licenses
-
6801113780 (MI)6801113780 (MI)
Practice Information
- Address
-
2925 RUSSELL STDETROIT, MI, 482074825Browse MI providers · Browse ZIP 48207
- Phone
- 3133965300
- Fax
- 3133965353
- Primary Specialty
-
Social Worker
104100000X
- Additional Specialty
- Social Worker
Other Social Worker Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| LORRAINE WAGNER STEELE | — | 1871552463 |
| DAVE GOLDMAN | M.S.W. | 1942252655 |
| YVETTE CARTER | LMSW | 1033137047 |
| MS. MARCIA ZACKS | MSW | 1063428829 |
| MRS. LA WANDA FAY LUCY | LLMSW | 1245249317 |
| MS. KAREN BRANDT | MSW | 1942219068 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.