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

Shirley R Bradley I, LMSW

Individual provider Clinical Social Worker · NPI 1871092205

Shirley R Bradley I, LMSW is a Clinical Social Worker in Waterbury, Connecticut. Qualified in 2012, 14 years ago. Practices with Supportive Care of South Carolina LLC, a 33-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut and South Carolina.

Years since qualifying
14
Licensed in
CT, SC
In the registry since
2018
Specialties on file
3
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

141 E Main St Fl 1
Waterbury, CT 06702-2310
Phone: (203) 756-7287
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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 17396 (SC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 11193 (CT)
Social Worker Taxonomy 104100000X · Licence 1413 (CT)

Record details

NPI number1871092205
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedFebruary 12, 2018
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Supportive Care Of South Carolina Llc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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