Individual
BRADFORD BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6047 LACY CREEK RD, CAMPTON, KY 41301-9405
(606) 205-3835
Mailing address
PO BOX 274, HAZEL GREEN, KY 41332-0274
(606) 205-3835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4089
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000603498
ANTHEM BCBS (NON PAR)
—
01
—
3009659
UNITED HEALTHCARE
—
05
—
30610026
—
KY
05
—
7100350220
—
KY
Enumeration date
05/09/2008
Last updated
04/01/2026
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