MEDICARE: MRS. ANDREA L BRADFORD LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LW60450458	WA

General Provider Information

NPI Number	:	1437542255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANDREA L BRADFORD LICSW

Provider Business Mailing Address
First Line	:	2817 BAKERVIEW PL
Second Line	:
City	:	MT VERNON
State	:	WA
Zip	:	98273
Country	:	US
Telephone Number	:	360-510-2812
Fax Number	:

Provider Business Practice Location Address
First Line	:	2917 BAKERVIEW PL
Second Line	:
City	:	MOUNT VERNON
State	:	WA
Zip	:	98273-5789
Country	:	US
Telephone Number	:	360-510-2812
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2015
Last Update Date	:	03/18/2015

Similar Medicare Providers

1336927243 — LANETTE LYNN DAVIS PMHNP
Practice Location Address:

1516 S GREEN BAY RD
MOUNT PLEASANT, WI
53406-5789

Practice Phone: 262-900-1111
Practice Fax: 262-748-1605

1790406718 — ELIZABETH ANNE ELLIS LSWAIC
Practice Location Address:

1420 ROOSEVELT AVE
MOUNT VERNON, WA
98273-2687

Practice Phone: 360-939-1450
Practice Fax:

1619834207 — AMETHYST COUNSELING AND CONSULTING
Practice Location Address:

1207 CLEVELAND AVE UNIT 873
MOUNT VERNON, WA
98273-6132

Practice Phone: 360-982-8589
Practice Fax:

1427619899 — DAVID HUANTE MD
Practice Location Address:

2320 FREEWAY DR
MOUNT VERNON, WA
98273-5445

Practice Phone: 360-814-6870
Practice Fax:

1457354896 — MRS. LESLIE A. ESTEP MD
Practice Location Address:

227 FREEWAY DRIVE , SUITE A
MOUNT VERNON, WA
98273

Practice Phone: 360-814-5550
Practice Fax: 360-814-5591

1801899182 — MRS. JENNIFER KOOIKER BENSON MD
Practice Location Address:

110 N LAVENTURE RD STE C
MOUNT VERNON, WA
98273-3901

Practice Phone: 360-399-7700
Practice Fax: 360-899-4534

Directions to “ MRS. ANDREA L BRADFORD LICSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.