Glenetta Laschelle Bradley, LCSW

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

CSW009408 Issued in GA

Practice address

502 N 14TH St
Perry, OK 73077-5022

Phone

(918) 308-5512

Fax

(580) 215-5767

NPI assigned

Nov 28, 2009

Last updated

Oct 7, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Bradley Investment Group LLC

  • Clinical Social Worker
  • Oklahoma City, OK
  • NPI 1982456950
  NPD Authorized official

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

{
    "created_epoch": "1259366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1972831188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N 14TH ST",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730775022",
            "telephone_number": "918-308-5512",
            "fax_number": "580-215-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N 14TH ST",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730775022",
            "telephone_number": "918-308-5512",
            "fax_number": "580-215-5767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8904 NW 130th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731428616",
            "country_code": "US",
            "telephone_number": "405-203-9521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8820 N Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731314036",
            "country_code": "US",
            "telephone_number": "405-708-0966",
            "fax_number": "405-478-2720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "GLENETTA",
        "middle_name": "LASCHELLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-28",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OK",
            "license": "7104",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "CSW009408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "7104",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jordan L Bolay, M.S., CCC-SLP
• Alecia Kaye Bowman
• Angela Dawn Brand, P.T.
• C Scott Cowell OD Inc
• Julian Cecil
• Rhonda Leann Chance
• Bryan CHRZ, DDS

• Behavior Analyst in Perry, OK
• Providers in Perry, OK by specialty
• Behavior Analyst in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.