National Provider Identifier

Timothy M Bradley, MSW

Timothy M Bradley, MSW is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Orchard Park, NY and a listed phone number of (716) 822-2117.

NPI 1093388522Orchard Park, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1093388522
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
July 22, 2021
Last Updated
March 28, 2022

Practice Location

  • 3176 Abbott RD Unit 500
  • Orchard Park, NY 14127-1069

Phone: (716) 822-2117

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1093388522
Entity Type
Individual
Last Name
Bradley
First Name
Timothy
Middle Name
M
Credential
MSW
Mailing Street Address
3176 Abbott RD Unit 500
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-1069
Mailing Country
US
Mailing Phone
(716) 822-2117
Mailing Fax
(716) 822-8165
Practice Street Address
3176 Abbott RD Unit 500
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-1069
Practice Country
US
Practice Phone
(716) 822-2117
Practice Fax
(716) 822-6185
Enumeration Date
July 22, 2021
Last Updated
March 28, 2022
Sex
Male
Sole Proprietor
No
Certification Date
March 28, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)