Bradley Gene Ohs, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 562 Issued in AK

Practice address

349 E Cottonwood Ave
Palmer, AK 99645-6404

Phone

(907) 745-7799

Fax

(907) 745-7799

NPI assigned

Dec 16, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Mindful Exchanges, PC

  • Clinical Social Worker
  • Palmer, AK
  • NPI 1063797371
  NPD (past) Authorized official

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1881963007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 446",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996450446",
            "telephone_number": "907-745-7799",
            "fax_number": "907-745-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 E COTTONWOOD AVE",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456404",
            "telephone_number": "907-745-7799",
            "fax_number": "907-745-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHS",
        "first_name": "BRADLEY",
        "middle_name": "GENE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "LCSW 562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Nye, PA-C
• Kili Grace O'Bryant
• Katlyn Marie O'Fihelly
• Christian E Odom
• Polly-Beth Odom
• Jace Axel Olsen
• Drue S Olson
• Karalei Olson
• Laurelei M Olson
• Mary Eicher Olson, PT

• Clinical Social Worker in Palmer, AK
• Providers in Palmer, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.