Kevin Braga, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077372 Issued in NY

Practice address

15 W 28TH St Ste 6F
New York, NY 10001-6410

Phone

(646) 818-9588

Fax

(646) 738-9662

NPI assigned

Jul 29, 2010

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

Opted out of Medicare

Yes, effective Dec 5, 2021 through Dec 5, 2027

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.

• Optimal Living Psychological Services, PC

  • Addiction (Substance Use Disorder) Psychologist
  • New York, NY
  • NPI 1033512215
  NPD (past)

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1023322302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N CENTRAL RD APT 10H",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247595",
            "telephone_number": "646-468-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W 28TH ST STE 6F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016410",
            "telephone_number": "646-818-9588",
            "fax_number": "646-738-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGA",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-29",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert A Braff, MD
• Stacey Braffett, LMSW
• Barbara H Braffman, M.D.
• Carole Sue Brafman, M.D.
• Lois Brooks Brafman, NP
• Socorro Braganca, LMHC
• Maria Diana Villarreal Braganza
• Laura B Bragdon, PHD
• Alecia Bragg
• Gail Bragg, LCSW

• Clinical Social Worker in New York, NY
• Providers in New York, 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 May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.