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NPI Code Detail

MEDICARE: MR. BRADLEY ALEXANDER II LMSW, CSW-INTERN

MEDICARE: MR. BRADLEY ALEXANDER II LMSW, CSW-INTERN
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
11041C0700XClinical Social Worker11271-MNV

General Provider Information

NPI Number : 1982272233
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRADLEY ALEXANDER II LMSW, CSW-INTERN
Provider Business Mailing Address
First Line : 1785 E SAHARA AVE STE 340
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3717
Country : US
Telephone Number : 702-823-4300
Fax Number :
Provider Business Practice Location Address
First Line : 1785 E SAHARA AVE STE 340
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3717
Country : US
Telephone Number : 702-823-4300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2021
Last Update Date : 02/23/2026

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