Individual provider · Type 1 NPI

Cory Lea Bradley

Clinical Social Worker · Ontario, OR

NPI number 1821764499 Active

Practice location

992 W Idaho Ave
Ontario, OR 97914-2111

Call (208) 405-0020 Map

Fax (208) 739-4425

Mailing address

1901 N Lakes Pl
Meridian, ID 83646-5939

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLMSW-43072 (ID)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1821764499

Cory Lea Bradley's National Provider Identifier is 1821764499, issued on Aug 23, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ontario, OR. The record was last updated on May 13, 2023.