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

Individual provider Clinical Social Worker · NPI 1053720557

Shannon Deirdre Bradley, LCSW is a Clinical Social Worker in Gulfport, Mississippi. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2014
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

5502 Marvin Shields Blvd
Gulfport, MS 39501
Phone: (228) 822-5710
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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 · Licence SW 13312 (FL)

Record details

NPI number1053720557
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 8, 2014
Last updated in NPPESApril 22, 2022
Certification dateApril 22, 2022

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