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DE'ERIK LAMONTAE BRADLEY LCSWA
NPI 1023789344
Social Worker - Clinical in Charlotte, NC

Active since September 27, 2021
2901 COLTSGATE RD STE 202, CHARLOTTE, NC 28211(704) 980-3082(704) 980-3082 Get Directions Write a Review

NPPES record last updated: March 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2023, Feb 15, 2023, Sep 27, 2021 (3 updates tracked since 2021).

About De'erik Lamontae Bradley Lcswa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DE'ERIK LAMONTAE BRADLEY LCSWA (NPI 1023789344) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (PO15273) and active in the NPI registry since September 2021. He maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1023789344
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDE'ERIK LAMONTAE BRADLEYCredential: LCSWA
Location Address2901 COLTSGATE RD STE 202Charlotte, NC 28211-4384
Mailing Address700 East Blvd Ste 1Charlotte, NC 28203-5156 · (704) 980-3082 · Fax (704) 980-3082
Phone(704) 980-3082
Fax(704) 980-3082
Sole ProprietorYes
Enumeration DateSeptember 27, 2021
Last NPPES UpdateMarch 19, 20233 updates tracked since enumeration
NPPES CertifiedMarch 19, 2023
✔ NPI 1023789344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · PO15273
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2901 COLTSGATE RD STE 202, Charlotte, NC 28211
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Secondary Practice Location 1

Location 1700 East Blvd Ste 1Charlotte, NC 28203-5156 · Phone (704) 980-3082 · Fax (704) 980-3082

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADALYN OLIVIA TWIST LCSWA
Social Worker (Clinical)
2901 COLTSGATE RD STE 202
CHARLOTTE, NC 28211
Mecklenburg County (704) 980-3082

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is De'erik Bradley's NPI number?

The NPI number for De'erik Bradley is 1023789344. It was assigned to this individual provider in the NPPES registry on September 27, 2021.

Where is De'erik Bradley located?

De'erik Bradley practices at 2901 Coltsgate Rd Ste 202, Charlotte, NC 28211. The listed phone number is (704) 980-3082.

What is De'erik Bradley's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does De'erik Bradley accept?

Health plans from Blue Cross and Blue Shield of NC list De'erik Bradley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for De'erik Bradley was last updated on March 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.