MR. TYRONE BRADSHAW LICSW /MPH NPI 1962880120

NPI Information

NPI: 1962880120
Provider Name: MR. TYRONE BRADSHAW, LICSW /MPH
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
3341 BENNING RD NE
WASHINGTON, DC
ZIP 20019
Phone: (202) 543-0387
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MR. Tyrone Bradshaw, LICSW /MPH is a mental health counselor in Washington, DC. MR. Tyrone Bradshaw, LICSW /MPH NPI is 1962880120. 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:

3341 BENNING RD NE
WASHINGTON, DC
ZIP 20019-502
Phone: (202) 543-0387

The NPI 1962880120 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 5/8/2015 and was last updated on 5/8/2015.

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
1	101YM0800X	Counselor	Mental Health	LC301258	DISTRICT OF COLUMBIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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