Provider Demographics
NPI:1487409694
Name:BRADIN, DEBRA SUE (MSW, LCSW, LCADC)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:SUE
Last Name:BRADIN
Suffix:
Gender:F
Credentials:MSW, LCSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 GARDEN ST STE 306
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-1947
Mailing Address - Country:US
Mailing Address - Phone:856-979-6557
Mailing Address - Fax:
Practice Address - Street 1:11 GARDEN ST STE 306
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060-1947
Practice Address - Country:US
Practice Address - Phone:856-979-6557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL058220001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical