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Glenetta Laschelle Bradley , LCSW

Behavior Analyst β€’ Perry, OK

Active NPI 1972831188 Individual Practitioner Female Practitioner
Practice location in NPPES

502 N 14th St
Perry, OK 730775022

Call 9183085512 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

502 N 14th St

Perry, OK 730775022

Telephone 9183085512
Fax 5802155767
Organization at the Same NPPES Address or Phone
Grand Lake Mental Health Center, Inc. Facility NPI 1336707256

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Oklahoma City, OK. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Perry and Oklahoma

1 active clinicians are listed under Behavior Analyst with a practice address in Perry, OK (1,785 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-03-14
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Social Worker

NUCC Taxonomy Code: 104100000X

License # reported to NPPES OK 7104

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Lcsw
7104 (OK)

Secondary Practice Locations

8820 N Eastern Ave

Oklahoma City, OK 731314036

Phone: 4057080966

8904 Nw 130th St

Oklahoma City, OK 731428616

Phone: 4052039521

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location March 14, 2022

Registered at 502 N 14TH ST, PERRY, OK 730775022 (Tel: 9183085512)

πŸ“
Updated Business Mailing Address March 14, 2022

Registered at 502 N 14TH ST, PERRY, OK 730775022 (Tel: 9183085512)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2022

Social Worker (license number reported to NPPES: OK 7104)

πŸ“
Updated Practice Location July 07, 2021

Registered at 8904 NW 130TH ST, OKLAHOMA CITY, OK 731428616 (Tel: 4052039521)

πŸ“
Updated Business Mailing Address July 07, 2021

Registered at 8904 NW 130TH ST, OKLAHOMA CITY, OK 731428616 (Tel: 4052039521)

πŸ‘€
Provider Name / Credentials Updated July 07, 2021

Recorded as GLENETTA BRADLEY, LCSW

βœ…
NPI Profile Active November 28, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 28, 2009

Registered at 8820 N EASTERN AVE, OKLAHOMA CITY, OK 731314036 (Tel: 4057080966)

πŸ“
Business Mailing Address (Initial Record) November 28, 2009

Registered at 8820 N EASTERN AVE, OKLAHOMA CITY, OK 731314036 (Tel: 4057080966)

πŸ‘€
Provider Name / Credentials (Initial Record) November 28, 2009

Recorded as GLENETTA WOODS, BSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2009

Behavior Analyst

🟒
Initial NPI Registration & Enumeration November 28, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1972831188
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 28, 2009
Last Update: March 14, 2022
Sole Proprietor: Yes

Mailing Address

502 N 14th St

Perry, OK 730775022

Phone: 9183085512

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.