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

Individual provider Clinical Social Worker · NPI 1598350795

Dejrah Monique Bradley, LCSW is a Clinical Social Worker in Tulsa, Oklahoma. Qualified in 2020, 6 years ago. Practices with Parkside, Inc, a 15-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
6
Licensed in
OK
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1620 E 12th St
Tulsa, OK 74120-5407
Phone: (918) 664-4224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 21697 (OK)

Record details

NPI number1598350795
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 9, 2021
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Parkside, Inc. — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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