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

Kelly Bradford

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1386906394

Kelly Bradford is a Clinical Social Worker in Independence, Kansas. Qualified in 2012, 14 years ago. Practices with Four County Mental Health Center Inc, a 22-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
14
Licensed in
KS
In the registry since
2012
Specialties on file
2

Practice location Address checks out

1101 Donald Ave
Independence, KS 67301-2001
Phone: (620) 331-1748
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 4705 (KS)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 995 (KS)

Record details

NPI number1386906394
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 14, 2012
Last updated in NPPESAugust 28, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Four County Mental Health Center Inc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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