Individual provider Active NPI

Pat J Bruno, LCSW

  • Clinical Social Worker
  • Rose Bud, AR
National Provider Identifier
1154050243
Registry record updated Mar 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9685-C Issued in AR
Practice address
105 Rhonda LN
Rose Bud, AR 72137-8003
Phone
(501) 827-8136
NPI assigned
Jun 6, 2022
Last updated
Mar 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X
Clinical Social Worker 1041C0700X 9685-C AR Primary

Addresses

Primary practice location

105 Rhonda LN
Rose Bud, AR 72137-8003

Mailing address

105 Rhonda LN
Rose Bud, AR 72137-8003
Phone (501) 827-8136

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pjb.lcsw@tsmhs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20240925003074 AR Practitioner - Clinical Social Worker 7012458482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 Rhonda LN
Rose Bud, AR 72137-8003
Phone (501) 827-8134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9685-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pat J Bruno Dba Three Strands Mental Health Services, LLC Pastoral CurrentSince Aug 1, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pjb.lcsw@tsmhs.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743206400000",
    "number": "1154050243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 RHONDA LN",
            "city": "ROSE BUD",
            "state": "AR",
            "postal_code": "721378003",
            "telephone_number": "501-827-8136",
            "fax_number": "479-763-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 RHONDA LN",
            "city": "ROSE BUD",
            "state": "AR",
            "postal_code": "721378003",
            "telephone_number": "501-827-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "PAT",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "9685-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pjb.lcsw@tsmhs.org",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "105 Rhonda Ln",
            "city": "Rose Bud",
            "state": "AR",
            "country_code": "US",
            "postal_code": "721378003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rose Bud, AR

Sources for this page

Verify at the official NPI Registry.