IndividualActive
Cory Bradley
NPI 1821764499 · Clinical Social Worker · Ontario, OR
Provider details
- NPI number
- 1821764499
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- LMSW-43072 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
992 W Idaho Ave
Ontario, OR 97914-2111
Phone: (208) 405-0020
Fax: (208) 739-4425
Street-level locationGet directions
Mailing address
1901 N Lakes Pl
Meridian, ID 83646-5939
Registry dates
- Enumerated
- 2021-08-23
- Last updated
- 2023-05-13
- Certified
- 2023-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.