KELLY LYNN BRADSHAW LCSW-A
NPI 1619757028
Social Worker - Clinical in Kinston, NC

Active since October 03, 2023
2204 STANTON RD, KINSTON, NC 28504(252) 468-1941 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Lynn Bradshaw Lcsw-a NPPES

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

KELLY LYNN BRADSHAW LCSW-A (NPI 1619757028) is an individual clinical provider in Kinston, North Carolina, licensed in North Carolina (P018875) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1619757028
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY LYNN BRADSHAWCredential: LCSW-A
Location Address2204 STANTON RDKinston, NC 28504-1428
Mailing Address2204 Stanton RdKinston, NC 28504-1428 · (252) 468-1941
Sole ProprietorYes
Enumeration DateOctober 3, 2023
NPPES CertifiedOctober 3, 2023
NPI 1619757028 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 · P018875
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.
2204 STANTON RD, Kinston, NC 28504

Accepted Insurance

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 Kelly Bradshaw's NPI number?

The NPI number for Kelly Bradshaw is 1619757028. It was assigned to this individual provider in the NPPES registry on October 3, 2023.

Where is Kelly Bradshaw located?

Kelly Bradshaw practices at 2204 Stanton Rd, Kinston, NC 28504. The listed phone number is (252) 468-1941.

What is Kelly Bradshaw's specialty?

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

What insurance does Kelly Bradshaw accept?

Health plans from Blue Cross and Blue Shield of NC list Kelly Bradshaw 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 Kelly Bradshaw was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.