Pat J Bruno, LCSW
Individual provider Active NPI Clinical Social Worker · Rose Bud, AR
NPI 1154050243 · NPPES record last updated Mar 29, 2025
Key facts
- NPI
- 1154050243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 9685-C (AR)
- Practice address
- 105 Rhonda LN
Rose Bud, AR 72137-8003 - Phone
- (501) 827-8136
- NPI assigned
- Jun 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240925003074 | AR | Practitioner - Clinical Social Worker | 7012458482 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pat J Bruno Dba Three Strands Mental Health Services, LLC | Pastoral | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | |||
| Clinical Social Worker | 1041C0700X | 9685-C | AR | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15584417 | Other | CAQH | |
| 9685C | Other | AR | ARKANSAS SOCIAL WORK LICENSING BOARD-LCSW |
| 10-637 | Other | AR | ORDINATION OF MINISTER OFFICIANT |
| 324450719 | Medicaid | AR |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pjb.lcsw@tsmhs.org | Direct |
Other providers in Rose Bud, AR
- Alternative Oppurtunities
- Arcare
- Arcare
- Arkansas Therapy Professionals
- Jennifer Lynne Arnold
- Lisa S Clark
- Carrie Lynn Flowers
- Health Resources of Arkansas, Inc.
- Daisy Neal
- Pat J Bruno Dba Three Strands Mental Health Services, LLC
All providers in Rose Bud, AR · Clinical Social Worker in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.