BRADLEY LAKE LICSW, LCSW-C
NPI 1548625205
Social Worker - Clinical in Washington, DC

Active since December 23, 2015
3000 CONNECTICUT AVE NW, WASHINGTON, DC 20008(202) 238-9541 Get Directions Write a Review

NPPES record last updated: December 23, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bradley Lake Licsw, Lcsw-c NPPES

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

BRADLEY LAKE LICSW, LCSW-C (NPI 1548625205) is an individual clinical provider in Washington, District Of Columbia, licensed in District Of Columbia (320386) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1548625205
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBRADLEY LAKECredential: LICSW, LCSW-C
Location Address3000 CONNECTICUT AVE NWWashington, DC 20008-2509
Mailing Address3000 Connecticut Ave NwWashington, DC 20008-2509 · (202) 238-9541
Sole ProprietorYes
Enumeration DateDecember 23, 2015
NPI 1548625205 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 DC · 320386
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.
3000 CONNECTICUT AVE NW, Washington, DC 20008

Other Providers at the Same Location NPPES 20

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

Pharmacy (Community/Retail Pharmacy)
3000 CONNECTICUT AVE NW
WASHINGTON, DC 20008
Social Worker (Clinical)
3000 CONNECTICUT AVE NW, SUITE 137
WASHINGTON, DC 20008
Social Worker (Clinical)
3000 CONNECTICUT AVE NW, SUITE 408
WASHINGTON, DC 20008
Counselor (Mental Health)
3000 CONNECTICUT AVE NW, SUITE 321
WASHINGTON, DC 20008
Counselor (Mental Health)
3000 CONNECTICUT AVE NW, SUITE 306
WASHINGTON, DC 20008
Psychiatry & Neurology (Psychiatry)
3000 CONNECTICUT AVE NW, 106
WASHINGTON, DC 20008
Psychologist (Clinical)
3000 CONNECTICUT AVE NW, SUITE 134
WASHINGTON, DC 20008
Acupuncturist
3000 CONNECTICUT AVE NW, SUITE 102
WASHINGTON, DC 20008

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 Bradley Lake's NPI number?

The NPI number for Bradley Lake is 1548625205. It was assigned to this individual provider in the NPPES registry on December 23, 2015.

Where is Bradley Lake located?

Bradley Lake practices at 3000 Connecticut Ave NW, Washington, DC 20008. The listed phone number is (202) 238-9541.

What is Bradley Lake'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 Bradley Lake was last updated on December 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.