Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972831188 Individual Practitioner Female Practitioner

Glenetta Laschelle Bradley , LCSW

Behavior Analyst • Perry, OK

Professional Overview & Biography Verified Profile Summary

Glenetta Bradley, LCSW is a registered healthcare professional specializing in Behavior Analyst in Perry, OK. Practice services are available at 502 N 14TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

502 N 14th St

Perry, OK 730775022

Telephone 9183085512
Fax 5802155767
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Perry, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Perry, OK (1840 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 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

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID 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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Mallory Stater

Case Manager/Care Coordinator

NPI 1154903615
Stephanie Morris

Social Worker

NPI 1174131619
Maegan Phillips

Case Manager/Care Coordinator

NPI 1265212518
Natalie Dominguez

Case Manager/Care Coordinator

NPI 1306155650
Diana Samarripa

Counselor - Addiction (Substance Use Disorder)

NPI 1326774589
Eldon Johnson , MED, LPC

Counselor - Professional

NPI 1346263019

Master of Education, Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location March 14, 2022

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

📍
Updated Business Mailing Address March 14, 2022

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

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

Social Worker (License #7104 in OK)

📍
Updated Practice Location July 07, 2021

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

📍
Updated Business Mailing Address July 07, 2021

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

👤
Provider Name / Credentials Updated July 07, 2021

Recorded as GLENETTA BRADLEY, LCSW

NPI Profile Active November 28, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location November 28, 2009

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

📍
Updated Business Mailing Address November 28, 2009

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

👤
Provider Name / Credentials Updated November 28, 2009

Recorded as GLENETTA WOODS, BSW

🎓
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.

Patient & Community Reviews

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.