Individual provider Active NPI

Bradlie Ariel Dewald, LCSW-1393

  • Clinical Social Worker
  • Casper, WY
National Provider Identifier
1245713437
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-1393 Issued in WY
Practice address
701 Antler Dr Ste 206
Casper, WY 82601-1749
Phone
(307) 439-4128
NPI assigned
Sep 13, 2018
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PCSW-844 WY
Clinical Social Worker 1041C0700X CSW-259 WY
Clinical Social Worker 1041C0700X LCSW-1393 WY Primary

Addresses

Primary practice location

701 Antler Dr Ste 206
Casper, WY 82601-1749

Mailing address

701 Antler Dr Ste 206
Casper, WY 82601-1749
Phone (307) 439-4128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230630001243 WY Practitioner - Clinical Social Worker 1153780648 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW-259WYMDClinical Social Worker
LCSW-1393WYMDClinical Social Worker
PCSW-844WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind on the Mend LLC Clinical CurrentSince Jan 4, 2026 Accepting new patients
Central Behavioral Health CurrentSince Jun 22, 2023 Accepting new patients
Central Behavioral Health CurrentSince Jun 22, 2023 Accepting new patients

Locations

1430 Wilkins Cir
Casper, WY 82601
Phone (307) 237-9583

701 Antler Dr
Ste 206
Casper, WY 82601
Phone (307) 262-3173

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1245713437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ANTLER DR STE 206",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011749",
            "telephone_number": "307-439-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ANTLER DR STE 206",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011749",
            "telephone_number": "307-439-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWALD",
        "first_name": "BRADLIE",
        "middle_name": "ARIEL",
        "credential": "LCSW-1393",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "PCSW-844",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "CSW-259",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-1393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.