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

Tyeisha R Bradley

Individual provider Social Worker · NPI 1144571977

Tyeisha R Bradley is a Social Worker in Fort Campbell, Kentucky. Licensed in Hawaii and Illinois. Registered with an NPI since 2012.

Licensed in
HI, IL
In the registry since
2012
Specialties on file
3

Practice location Address checks out

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-8400
Fax: (270) 798-8224
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 LCSW-4317 (HI)
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X (IL)

Record details

NPI number1144571977
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 19, 2012
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024
Mailing address650 Joel Dr, Fort Campbell, KY 42223-5318

Other providers in Fort Campbell