Provider Demographics
NPI:1154058881
Name:CARNEY, BRADLEY (LCSW, MSW)
Entity type:Individual
Prefix:
First Name:BRADLEY
Middle Name:
Last Name:CARNEY
Suffix:
Gender:M
Credentials:LCSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 E DRY CREEK RD STE C203
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-2563
Mailing Address - Country:US
Mailing Address - Phone:720-805-5343
Mailing Address - Fax:
Practice Address - Street 1:7200 E DRY CREEK RD STE C203
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2563
Practice Address - Country:US
Practice Address - Phone:720-805-5343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-03
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099308941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical