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General NPI Number Information
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NPI Number | 1780594457
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Entity Type | Individual
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Provider Name | BRITTNEY BRADSHAW CSW, LSW
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Gender | Female
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 435 BERGER RD
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City | PADUCAH
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State | KY
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Zip | 42003-4501
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Country | US
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Telephone | 270-538-9831
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Fax |
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Provider Business Mailing Address
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Address Line | 2498 DEER RUN RD
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City | METROPOLIS
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State | IL
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Zip | 62960-6031
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Country | US
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Telephone | 940-368-3672
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 150.119087
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW00001417
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License Number State | KY
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