Individual provider · Type 1 NPI

Larry Miles Bradley, LCSW

Clinical Social Worker · St. Anthony, ID

NPI number 1891139432 Active

Practice location

335 E Main St Ste 1
St. Anthony, ID 83445-1546

Call (208) 356-4900 Map

Fax (208) 624-4030

Mailing address

PO Box 18
St. Anthony, ID 83445-0018

Other practice locations

  • 72 S 1st E Ste 101, Rexburg, ID 83440-1965 · (208) 356-4900
  • 3729 Woodking Dr Ste 1, Idaho Falls, ID 83404-4720 · (208) 356-4900

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW 30350 (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…

8 other providers at this address

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About NPI 1891139432

Larry Miles Bradley, LCSW's National Provider Identifier is 1891139432, issued on Apr 25, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Anthony, ID. The record was last updated on Jun 3, 2024.