NPI age
13 years
Enumerated 2013-04-25
● Active
Type 1 · Individual
Larry Miles Bradley, LCSW
Bradley is 1 of 12 social worker providers in Saint Anthony and 1 of 2000 in Idaho.
Primary specialty
Social Worker
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-06-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2000 active social worker providers in Idaho.
NPI age
13 years
↑ 3 yr above median (10 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
29% of peers hold subspecialties
NPI lifetime · 2013 → 2026
2013-04Enumerated in NPPES
2013
2026
Where they practice
Practice location
335 E Main St Ste 1
Saint Anthony, ID 834451546
Mailing address
Po Box 18
Saint Anthony, ID 834450018
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
72 S 1st E Ste 101
Rexburg, ID 834401965
Location 3
3729 Woodking Dr Ste 1
Idaho Falls, ID 834044720
Specialties
-
Social Worker PrimaryA 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...
Practice context
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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