Provider Demographics
NPI:1518688936
Name:SCHLOSSER, BRAD (MSW, RCSWI)
Entity Type:Individual
Prefix:
First Name:BRAD
Middle Name:
Last Name:SCHLOSSER
Suffix:
Gender:M
Credentials:MSW, RCSWI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 5TH ST N APT 1
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-2337
Mailing Address - Country:US
Mailing Address - Phone:314-471-1606
Mailing Address - Fax:
Practice Address - Street 1:526 5TH ST N APT 1
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-2337
Practice Address - Country:US
Practice Address - Phone:314-471-1606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-05
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW176331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical