Khalil R. Bradley
Clinical Social Worker · Enfield, CT
NPI number
1205574613
Practice location
153 Hazard AveEnfield, CT 06082-4592
- Phone
- (860) 253-5020
- Fax
- (860) 731-5536
NPI record
- NPI
- 1205574613
- Entity type
- Individual (Type 1)
- Enumeration date
- May 25, 2022
- Last updated
- May 25, 2022
- Certified
- May 25, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Social Worker Primary | 1041C0700X |
— | — |
Mailing address
2 Waterside Xing Ste 401Windsor, CT 06095-1588
- Phone
- (860) 697-3351
- Fax
- (860) 731-5536
About Khalil Bradley
Khalil R. Bradley is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 153 Hazard Ave, Enfield, CT 06082-4592. The NPI number 1205574613 was assigned on May 25, 2022 and the record was last updated on May 25, 2022.
Frequently asked questions
What is the NPI number of Khalil R. Bradley?
The NPI number is 1205574613.
What is the phone number of Khalil Bradley?
The phone number listed for the practice location is (860) 253-5020.
Where is Khalil Bradley located?
153 Hazard Ave, Enfield, CT 06082-4592.
What is the taxonomy code for Khalil Bradley?
The primary taxonomy code is 1041C0700X – Clinical Social Worker.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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