Individual provider Active NPI

Jennifer Yvette Bruno, LCSW

  • Clinical Social Worker
  • Bethlehem, PA
National Provider Identifier
1104346477
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019498 Issued in PA
Practice address
3201 Highfield Dr Ste M
Bethlehem, PA 18020-1113
Phone
(610) 419-1536
Fax
(800) 556-4985
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW019498 PA Primary

Addresses

Primary practice location

3201 Highfield Dr Ste M
Bethlehem, PA 18020-1113

Mailing address

1576 Fleming St
Bethlehem, PA 18017-6207
Phone (484) 221-2411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20180314001493 PA Practitioner - Clinical Social Worker 6305108101 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW019498PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Centers of the Lehigh Valley Current Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Apr 12, 2023 Accepting new patients
Neighborhood Health Centers of the Lehigh Valley CurrentSince Jan 6, 2018 Accepting new patients
Fruitful Seeds Counseling, LLC Clinical CurrentSince Aug 3, 2025 Accepting new patients
Vita Counseling Partners Clinical CurrentSince Oct 26, 2020 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

218 N 2nd St
Allentown, PA 18102
Phone (484) 640-1200

333 W Union St
Unit 1
Allentown, PA 18102

541 E Broad St
Bethlehem, PA 18018
Phone (484) 221-2411

635 E Broad St
Bethlehem, PA 18018
Phone (610) 820-7605

3735 Nazareth Rd
Ste 102
Easton, PA 18045
Phone (610) 252-0358

3295 Forest Inn Rd
Ste 3
Palmerton, PA 18071
Phone (610) 826-8482

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1104346477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 FLEMING ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180176207",
            "telephone_number": "484-221-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 HIGHFIELD DR STE M",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180201113",
            "telephone_number": "610-419-1536",
            "fax_number": "800-556-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "JENNIFER",
        "middle_name": "YVETTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.