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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIANNE M BRADLEY, LCSW

Active Sole Proprietor

DIANNE M BRADLEY, LCSW is a Clinical Social Worker healthcare provider located in ELIZABETHTOWN, Kentucky. NPI 1750666152 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · ELIZABETHTOWN, KY

Registration Details

NPI Number
1750666152
Provider Type
Individual
Gender
Female
NPI Issued
Oct 17, 2011 (14.803611830512 yrs)
Last Updated
Jan 10, 2023
Licenses
0904008413 (VA)
5837 (TN)
LC50081103 (DC)
256419 (KY)
Sole Proprietor
Yes

Practice Information

Address
100 PAR LN STE 102
ELIZABETHTOWN, KY, 427019059
Browse KY providers · Browse ZIP 42701
Phone
4238178818
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker
Additional Specialty
Clinical Social Worker
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in ELIZABETHTOWN, KY

Name Credential NPI
MRS. PAMELA DENISE MASTERS LCSW 1669456521
WANDA CARPENTER DOBBINS LCSW 1275584641
TIMOTHY ELLIS LCSW 1811949142
THOMAS STIGALL LCSW 1619914561
SUZANNE PARRETT LCSW 1801833207
KIMBERLY BECKER LCSW 1760420459
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.