MR. CHARLES GLENN BRADLEY (NPI# 1851557409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851557409 |
| Entity Type | Individual |
| Full Name | MR. CHARLES GLENN BRADLEY |
| Credential | L.C.S.W. |
| Practice Address |
213 Lovern St Suite 6 Hazard KY 41701-1761 |
| Practice Telephone | 6064385649 |
| Practice Fax Number | 6067140500 |
| Mailing Telephone | 6064385649 |
| Mailing Fax Number | 6067140500 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3187 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303882 | Charles Paul Bradley | Adult Companion | 776 North Court Street, Circleville, OH 43113 | 2018-07-25 |
| 1356696157 | Charles A. Bradley | Obstetrics & Gynecology | 5521 Berkeley Rd, Santa Barbara, CA 93111-1615 | 2012-07-17 |
| 1568674125 | Charles E. Bradley IIi | Counselor | 135 Croydon Ave, Suite A, Baton Rouge, LA 70806-4502 | 2007-05-04 |
| 1225193295 | Charles Bradley | Dentist | 489 W Harwood Rd, Hurst, TX 76054-2943 | 2006-12-27 |
| 1265804231 | Charles Bradley | Counselor | 1615 Johnson St Ste C, Jennings, LA 70546-3650 | 2015-10-29 |
| 1891838827 | Charles N Bradley | Nurse Anesthetist, Certified Registered | 50 Medical Park East Drive, Birmingham, AL 35235 | 2007-02-15 |
| 1659384105 | Charles Wesley Bradley | Dentist | 8315 Walnut Hill Ln, Suite 200, Dallas, TX 75231-4218 | 2006-08-15 |
| Street Address |
213 LOVERN ST SUITE 6 |
| City | HAZARD |
| State | KY |
| Zip Code | 41701-1761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557147 | Mercy Medical Clinic Pllc | Family Medicine | 14659 Us N Hwy 25e, Ste 16, Corbin, KY 41701 | 2018-05-09 |
| 1770080574 | John Corey Taylor | Student in an Organized Health Care Education/Training Program | 750 Morton Blvd., Hazard, KY 41701 | 2018-04-09 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| 1932637972 | Uvalyne Diane Preston | Dietitian, Registered | 210 Black Gold Blvd., Suite 107, Hazard Va Clinic, Hazard, KY 41701 | 2017-06-02 |
| 1124471370 | Family Center LLC | Specialist/Technologist, Other | 101 Town and Country Lane, Hazard, KY 41701 | 2016-07-22 |
| 1558730168 | Southgate Independent School District | Local Education Agency (LEA) | 6 William Blatt Ave, Southgate, KY 41701 | 2015-09-24 |
| 1285016980 | Jonathan Sizemore | Speech-Language Pathologist | 9821 Ky Hwy 476, Hazard, KY 41701 | 2015-06-18 |
| 1295126233 | Herbal Secrets | Skilled Nursing Facility | 202 Cliff View Lane, Hazard, KY 41701 | 2015-02-12 |
| 1417393414 | Bhg Xxvi, LLC | Case Management | 48 Independence Drive, Hazard, KY 41701 | 2013-05-16 |
| 1447585336 | Ace Clinique Pharmacy | Pharmacy | 207 Roy Campbell Dr, Hazard, KY 41701 | 2009-10-09 |
| Find all providers in zip 41701 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124211511 | Violet Michelle Miller | Social Worker | 101 Bulldog Ln, Hazard, KY 41701-6081 | 2007-08-20 |
| 1043275589 | Robyn Gail Napier | Social Worker | 750 Morton Blvd, Hazard, KY 41701-9469 | 2006-04-18 |
| 1891169405 | Lindsay Neace | Social Worker | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2015-11-19 |
| 1386029544 | Gerald M Nations | Social Worker | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2015-07-29 |
| 1740671247 | Leslie Craft | Social Worker | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2015-02-05 |
| 1780088781 | Tracy Cornett | Social Worker | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2014-10-20 |
| 1407263361 | Amy Okasha | Social Worker | 115 Rockwood Ln, Hazard, KY 41701 | 2014-07-11 |
| 1376970566 | Allison Combs | Social Worker | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2013-10-02 |
| 1710321195 | Ernestine Tilley | Social Worker | 305 Morton Blvd, Hazard, KY 41701-9418 | 2013-04-29 |
| 1225378128 | Cheryl Mefford | Social Worker | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2013-03-01 |
| Find all providers in HAZARD | ||||
Please comment or provide details below to improve the information on MR. CHARLES GLENN BRADLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.