Provider Demographics
NPI:1144832866
Name:STEESE, BRADLEY THOMAS (LSW)
Entity type:Individual
Prefix:MR
First Name:BRADLEY
Middle Name:THOMAS
Last Name:STEESE
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-2742
Mailing Address - Country:US
Mailing Address - Phone:856-905-4031
Mailing Address - Fax:
Practice Address - Street 1:HOLCOMB BEHAVIORAL HEALTH SYSTEMS
Practice Address - Street 2:920 E. BALTIMORE PIKE
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348
Practice Address - Country:US
Practice Address - Phone:610-388-9225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW137152104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker