Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khalil R Bradley

Individual provider Clinical Social Worker · NPI 1205574613

Khalil R Bradley is a Clinical Social Worker in Enfield, Connecticut. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

153 Hazard Ave
Enfield, CT 06082-4592
Phone: (860) 253-5020
Fax: (860) 731-5536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1205574613
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 25, 2022
Last updated in NPPESMay 25, 2022
Certification dateMay 25, 2022
Mailing address2 Waterside Xing Ste 401, Windsor, CT 06095-1588

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