Mary Catherine Bravo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW19489 Issued in FL

Practice address

3333 W Pensacola St Ste 400
Tallahassee, FL 32304-2892

Phone

(850) 575-4025

Fax

(850) 580-0983

NPI assigned

Feb 9, 2022

Sex

Female

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)

Enrolled

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1013661941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 NISSLEY RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323103656",
            "telephone_number": "334-447-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W PENSACOLA ST STE 400",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323042892",
            "telephone_number": "850-575-4025",
            "fax_number": "850-580-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Kathleene Brantley, LCSW
• Thomas Hunter Brantley, DMD, MS
• Gurpaul Singh Brar, M.D.
• Regan S Braun
• Brave Minds Counseling LLC
• John A Breda, MD
• Jaclyn Marie Breeding
• Hellen P Brenes
• Pierre Richard Brenord
• Lisa Bresson, B.ED

• Clinical Social Worker in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.