Provider Demographics
NPI:1063782142
Name:KERCHER, BRAD MARK (LCSW)
Entity type:Individual
Prefix:MR
First Name:BRAD
Middle Name:MARK
Last Name:KERCHER
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3235 N GOSHAWK WAY
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84040-7833
Mailing Address - Country:US
Mailing Address - Phone:989-627-2758
Mailing Address - Fax:
Practice Address - Street 1:3235 N GOSHAWK WAY
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84040-7833
Practice Address - Country:US
Practice Address - Phone:989-627-2758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-06
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty