Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cory Lea Bradley

Individual provider Clinical Social Worker · NPI 1821764499

Cory Lea Bradley is a Clinical Social Worker in Ontario, Oregon. Licensed in Idaho. Registered with an NPI since 2021.

Licensed in
ID
In the registry since
2021

Practice location Address checks out

992 W Idaho Ave
Ontario, OR 97914-2111
Phone: (208) 405-0020
Fax: (208) 739-4425
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LMSW-43072 (ID)

Record details

NPI number1821764499
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2021
Last updated in NPPESMay 13, 2023
Certification dateMay 13, 2023
Mailing address1901 N Lakes Pl, Meridian, ID 83646-5939

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