Kevin Scott Bragg, LCSW CASAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R043029-1 Issued in NY

Practice address

237 Pacific St
Massapequa Park, NY 11762-2116

Phone

(516) 356-1954

Fax

(516) 798-2939

NPI assigned

Jul 3, 2008

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

Other names 1

• Mr. Kevin Scott Bragg Other name

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Long Beach Reach IncGroup PAC ID 3779884572, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Long Beach Reach Inc.

  • Community/Behavioral Health Agency
  • Long Beach, NY
  • NPI 1285767608
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1023271566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 PACIFIC ST",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622116",
            "telephone_number": "516-356-1954",
            "fax_number": "516-798-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 PACIFIC ST",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622116",
            "telephone_number": "516-356-1954",
            "fax_number": "516-798-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "KEVIN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LCSW CASAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R043029-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "BRAGG",
            "middle_name": "SCOTT",
            "prefix": "MR.",
            "credential": "LCSW CASAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lauren Borgersen
• Michele Marie Borget-de Vos, LCSW-R
• Elizabeth Marie Bourne, LCSW
• Luz Ann Bove, MS, OTR/L
• Kellyanne Brady, LMHC
• Rosalynn Bristol
• Yvonne Theresa Bristow, RN/GNP
• Nicole Brock
• Erica Lori Brown, MS, ED.
• Carli Brust

• Clinical Social Worker in Massapequa Park, NY
• Providers in Massapequa Park, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.