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KEVIN BRADLEY LCSW
NPI 1184192981
Social Worker - Clinical in Fairfax, VA

Active since November 09, 2018
12408 ALEXANDER CORNELL DR, FAIRFAX, VA 22033(703) 658-9054 Get Directions Write a Review

NPPES record last updated: November 9, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kevin Bradley Lcsw NPPES

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

KEVIN BRADLEY LCSW (NPI 1184192981) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0904010765) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1184192981
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKEVIN BRADLEYCredential: LCSW
Location Address12408 ALEXANDER CORNELL DRFairfax, VA 22033-2414
Mailing Address12408 Alexander Cornell DrFairfax, VA 22033-2414 · (703) 658-9054
Phone(703) 658-9054
Sole ProprietorYes
Enumeration DateNovember 9, 2018
✔ NPI 1184192981 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 VA · 0904010765
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.
12408 ALEXANDER CORNELL DR, Fairfax, VA 22033
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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 Kevin Bradley's NPI number?

The NPI number for Kevin Bradley is 1184192981. It was assigned to this individual provider in the NPPES registry on November 9, 2018.

Where is Kevin Bradley located?

Kevin Bradley practices at 12408 Alexander Cornell Dr, Fairfax, VA 22033. The listed phone number is (703) 658-9054.

What is Kevin 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 Kevin Bradley was last updated on November 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.