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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEVIN BRADSHAW LCSW
NPI 1730169012
Social Worker - Clinical in Portsmouth, VA

Active since January 20, 2006
620 JOHN PAUL JONES CIR, CODE-1121, PORTSMOUTH, VA 23708(757) 953-5861 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Bradshaw Lcsw NPPES

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

KEVIN BRADSHAW LCSW (NPI 1730169012) is an individual clinical provider in Portsmouth, Virginia, licensed in Tennessee (LSW0000003054) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1730169012
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKEVIN BRADSHAWCredential: LCSW
Location Address620 JOHN PAUL JONES CIR, CODE-1121Portsmouth, VA 23708-2111
Mailing Address303 Effingham St, Apt-8-ePortsmouth, VA 23704-2314 · (757) 362-7774
Phone(757) 953-5861
Sole ProprietorNo
Enumeration DateJanuary 20, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1730169012 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 TN · LSW0000003054
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.
620 JOHN PAUL JONES CIR, Portsmouth, VA 23708
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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.

MEREDITH TVERDOSI CRNA
Nurse Anesthetist, Certified Registered
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-3238
ERIC FRANCIS SULAVA
Emergency Medicine
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
MRS. TIFFNY KUPER RHH
Dental Hygienist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2711
DR. LAKEISHA GOODE PHARMD
Pharmacist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-7462
JASMINE WOOD MD
Surgery
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-1895
NICHOLAS FANSELOW
General Practice
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
DR. DAVID JESSEN MD
Military Health Care Provider
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2518
MRS. WILLAR MAE BAUM L.C.S.W.
Social Worker (Clinical)
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-9767

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 Bradshaw's NPI number?

The NPI number for Kevin Bradshaw is 1730169012. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Kevin Bradshaw located?

Kevin Bradshaw practices at 620 John Paul Jones Cir Code-1121, Portsmouth, VA 23708. The listed phone number is (757) 953-5861.

What is Kevin 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 Kevin Bradshaw was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.