Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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De'Erik Lamontae Bradley, LCSWA

Individual provider Clinical Social Worker · NPI 1023789344

De'Erik Lamontae Bradley, LCSWA is a Clinical Social Worker in Charlotte, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021
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Practice location Address checks out

2901 Coltsgate Rd Ste 202
Charlotte, NC 28211-4384
Phone: (704) 980-3082
Fax: (704) 980-3082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 East Blvd Ste 1, Charlotte, NC 28203-5156 — (704) 980-3082

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence PO15273 (NC)

Record details

NPI number1023789344
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSWA
Sole proprietorYes
NPI enumeratedSeptember 27, 2021
Last updated in NPPESMarch 19, 2023
Certification dateMarch 19, 2023

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