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SHANNON DEIRDRE BRADLEY LCSW
NPI 1053720557
Social Worker - Clinical in Gulfport, MS

Active since August 08, 2014
5502 MARVIN SHIELDS BLVD, GULFPORT, MS 39501(228) 822-5710 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2022, Mar 9, 2022, Nov 23, 2016 (3 updates tracked since 2016).

About Shannon Deirdre Bradley Lcsw NPPES

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

SHANNON DEIRDRE BRADLEY LCSW (NPI 1053720557) is an individual clinical provider in Gulfport, Mississippi, licensed in Florida (SW 13312) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1053720557
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON DEIRDRE BRADLEYCredential: LCSW
Location Address5502 MARVIN SHIELDS BLVDGulfport, MS 39501
Mailing Address5502 Marvin Shields BlvdGulfport, MS 39501 · (282) 822-5710
Phone(228) 822-5710
Sole ProprietorYes
Enumeration DateAugust 8, 2014
Last NPPES UpdateApril 22, 20223 updates tracked since enumeration
NPPES CertifiedApril 22, 2022
✔ NPI 1053720557 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 FL · SW 13312
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.
5502 MARVIN SHIELDS BLVD, Gulfport, MS 39501
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Other Providers at the Same Location NPPES 12

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

PAMELA ANN EDWARDS
Nurse Practitioner
5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 871-4033
CARLEY MARIE MAYBERRY RN
Registered Nurse
5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (913) 837-0691
BRANCH MEDICAL CLINIC GULFPORT
Clinic/Center (Military/U.S. Coast Guard Outpatient)
5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (850) 505-6157
DERRIYAN LANAE PRICE DO
Family Medicine
5502 MARVIN SHIELDS BLVD, BLDG 472
GULFPORT, MS 39501
Harrison County (228) 822-5061
NHC PENSACOLA
Military/U.S. Coast Guard Pharmacy
5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 822-5783
DR. WILLIAM SHELTON PEARSON M.D.
Psychiatry & Neurology (Psychiatry)
5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (282) 822-5710
KELLYLYNN ZUNI PHD
Psychologist (Clinical)
5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (282) 871-4033
VALARIE ANNE CHAPMON LCSW
Social Worker (Clinical)
5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 822-5710

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 Shannon Bradley's NPI number?

The NPI number for Shannon Bradley is 1053720557. It was assigned to this individual provider in the NPPES registry on August 8, 2014.

Where is Shannon Bradley located?

Shannon Bradley practices at 5502 Marvin Shields Blvd, Gulfport, MS 39501. The listed phone number is (228) 822-5710.

What is Shannon Bradley's specialty?

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

When was this NPI record last updated?

The NPPES record for Shannon Bradley was last updated on April 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.