Provider Demographics
NPI:1417834383
Name:BIGGERSTAFF, BRADLEY SCOTT (LCSW-A)
Entity type:Individual
Prefix:
First Name:BRADLEY
Middle Name:SCOTT
Last Name:BIGGERSTAFF
Suffix:
Gender:M
Credentials:LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 NC HWY 73 E
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-9622
Mailing Address - Country:US
Mailing Address - Phone:704-796-9190
Mailing Address - Fax:
Practice Address - Street 1:3600 NC HWY 73 E
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-9622
Practice Address - Country:US
Practice Address - Phone:704-796-9190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0227341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical