Larry Bradley, LCSW
NPI 1891139432 · Clinical Social Worker · Saint Anthony, ID
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Larry Bradley, LCSW is a Clinical Social Worker provider in Saint Anthony, ID (NPI 1891139432).
Provider details
- NPI number
- 1891139432
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- LCSW 30350 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Additional practice locations (2)
- 3729 Woodking Dr Ste 1Idaho Falls, ID 83404-4720Phone: (208) 356-4900Fax: (208) 612-6118
- 72 S 1st E Ste 101Rexburg, ID 83440-1965Phone: (208) 356-4900Fax: (208) 624-4030
Registry dates
- Enumerated
- 2013-04-25
- Last updated
- 2024-06-03
- Certified
- 2024-06-03
Frequently asked questions
- What is Larry Bradley's NPI number?
- Larry Bradley's National Provider Identifier (NPI) is 1891139432, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larry Bradley's specialty?
- Larry Bradley is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Larry Bradley located?
- Larry Bradley's practice location on file with NPPES is 335 E Main St Ste 1, Saint Anthony, ID 83445-1546.
- What is Larry Bradley's phone number?
- The practice phone number listed in the NPPES registry for Larry Bradley is (208) 356-4900.
- Does Larry Bradley accept Medicare?
- Larry Bradley is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Larry Bradley's NPI active?
- Yes — Larry Bradley's NPI (1891139432) is active in the NPPES registry as of the last update on 2024-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.