IndividualActive
Shannon Bradley, LCSW
NPI 1053720557 · Clinical Social Worker · Gulfport, MS
Shannon Bradley, LCSW is a Clinical Social Worker provider in Gulfport, MS (NPI 1053720557).
Provider details
- NPI number
- 1053720557
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- SW 13312 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5502 Marvin Shields Blvd
Gulfport, MS 39501
Phone: (228) 822-5710
Approximate (ZIP-level) locationGet directions
Mailing address
5502 Marvin Shields Blvd
Gulfport, MS 39501
Registry dates
- Enumerated
- 2014-08-08
- Last updated
- 2022-04-22
- Certified
- 2022-04-22
Frequently asked questions
- What is Shannon Bradley's NPI number?
- Shannon Bradley's National Provider Identifier (NPI) is 1053720557, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Bradley's specialty?
- Shannon Bradley is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Shannon Bradley located?
- Shannon Bradley's practice location on file with NPPES is 5502 Marvin Shields Blvd, Gulfport, MS 39501.
- What is Shannon Bradley's phone number?
- The practice phone number listed in the NPPES registry for Shannon Bradley is (228) 822-5710.
- Is Shannon Bradley's NPI active?
- Yes — Shannon Bradley's NPI (1053720557) is active in the NPPES registry as of the last update on 2022-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.