Provider Demographics
NPI:1356550925
Name:WERLEY, BRADLEY JAY (LCSW)
Entity type:Individual
Prefix:MR
First Name:BRADLEY
Middle Name:JAY
Last Name:WERLEY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 ASHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-2212
Mailing Address - Country:US
Mailing Address - Phone:412-561-1477
Mailing Address - Fax:
Practice Address - Street 1:733 WASHINGTON RD
Practice Address - Street 2:SUITE #301
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-2022
Practice Address - Country:US
Practice Address - Phone:412-561-4494
Practice Address - Fax:412-561-0887
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0134411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical