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

Larry Miles Bradley, LCSW

Individual provider Clinical Social Worker · NPI 1891139432

Larry Miles Bradley, LCSW is a Clinical Social Worker in Saint Anthony, Idaho. Qualified in 2006, 20 years ago. Practices with Upper Valley Community Health Services Inc, a 30-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
20
Licensed in
ID
In the registry since
2013
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

335 E Main St Ste 1
Saint Anthony, ID 83445-1546
Phone: (208) 356-4900
Fax: (208) 624-4030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3729 Woodking Dr Ste 1, Idaho Falls, ID 83404-4720 — (208) 356-4900
  • 72 S 1st E Ste 101, Rexburg, ID 83440-1965 — (208) 356-4900

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW 30350 (ID)

Record details

NPI number1891139432
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 25, 2013
Last updated in NPPESJune 3, 2024
Certification dateJune 3, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Upper Valley Community Health Services Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Anthony