Active NPI
John A Bruno, LCSW
- Clinical Social Worker
- Delmar, NY
National Provider Identifier
1104845973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PR025926-1
- Practice address
- 196 Delaware Ave
Delmar, NY 12054-1230 - Phone
- (518) 439-0033
- Fax
- (518) 439-7167
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PR025926-1 | NY | Primary |
Addresses
Primary practice location
196 Delaware Ave
Delmar, NY 12054-1230
Mailing address
9 Damski Rd
Hudson, NY 12534-4421
Phone (914) 204-6229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR025926-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cca Wellness Network Ipa LLC | Clinical | Current | Accepting new patients |
| Dutchess County Commissioner of Finance | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Case Management Agency
- Poughkeepsie, NY
- NPI 1811010689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493942400000",
"number": "1104845973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 DAMSKI RD",
"city": "HUDSON",
"state": "NY",
"postal_code": "125344421",
"telephone_number": "914-204-6229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 DELAWARE AVE",
"city": "DELMAR",
"state": "NY",
"postal_code": "120541230",
"telephone_number": "518-439-0033",
"fax_number": "518-439-7167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO",
"first_name": "JOHN",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2017-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PR025926-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delmar, NY
- Tara B Bremer, M.A.
- Brian L. Fast, Psy.D. and Stephen P. Greggo, Psy.D, Psychologists, P.C
- Lorraine E. Briggs, P.T.
- Lilith Michele Brodsky, AU.D
- Cheryl Lynne Bruen, DPT
- Gladys A Brusa, LMHC, CEAP, BCC
- Marisa E Bryant, MS, CCC-SLP
- Minoo M Buchanan, DMD MS
- Jeffrey Paul Buenau, OPTICIAN
- Michael Paul Buenau I
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.