BRADFORD BREWER LCSW NPI 1174790018

NPI Information

  • NPI: 1174790018
  • Provider Name: BRADFORD BREWER, LCSW
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 664 SLATE AVE
    OWINGSVILLE, KY
    ZIP 40360
  • Phone: (606) 674-6690

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NPI Details

Bradford Brewer, LCSW is a clinical social worker in Owingsville, KY. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Bradford Brewer, LCSW NPI is 1174790018. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

664 SLATE AVE
OWINGSVILLE, KY
ZIP 40360-671
Phone: (606) 674-6690
Fax: (606) 329-8195

The enumeration date for this NPI number is 5/9/2008 and was last updated on 6/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical4089KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
130610026MEDICAIDKENTUCKY
2K156871MEDICARE PINKENTUCKY
37100350220MEDICAIDKENTUCKY
4K156872MEDICARE PINKENTUCKY
5000000603498OTHERANTHEM BCBS (NON PAR)
63009659OTHERUNITED HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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