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MRS. KATIE LYNN BRADSHAW LISW
NPI 1164918793
Social Worker - Clinical in Dayton, OH

Active since July 06, 2018
4100 W 3RD ST BLDG 330, DAYTON, OH 45428(937) 268-6511 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2025, Jul 6, 2018 (2 updates tracked since 2018).

About Mrs. Katie Lynn Bradshaw Lisw NPPES

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

MRS. KATIE LYNN BRADSHAW LISW (NPI 1164918793) is an individual clinical provider in Dayton, Ohio, licensed in Ohio (I.2506999) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1164918793
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KATIE LYNN BRADSHAWCredential: LISW
Location Address4100 W 3RD ST BLDG 330Dayton, OH 45428-9000
Mailing Address4100 W 3rd St Bldg 330Dayton, OH 45428-9000 · (937) 268-6511
Phone(937) 268-6511
Sole ProprietorNo
Enumeration DateJuly 6, 2018
Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1164918793 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 OH · I.2506999
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.
4100 W 3RD ST BLDG 330, Dayton, OH 45428
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Other Providers at the Same Location NPPES

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

KYANNA SPAIN DMD
Dentist (General Practice)
4100 W 3RD ST BLDG 330
DAYTON, OH 45428
Montgomery County (937) 268-6511

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 Katie Bradshaw's NPI number?

The NPI number for Katie Bradshaw is 1164918793. It was assigned to this individual provider in the NPPES registry on July 6, 2018.

Where is Katie Bradshaw located?

Katie Bradshaw practices at 4100 W 3rd St Bldg 330, Dayton, OH 45428. The listed phone number is (937) 268-6511.

What is Katie Bradshaw'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 Katie Bradshaw was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.