Active NPI
Gail L Bruce, LCSW
- Clinical Social Worker
- Rochester, NY
National Provider Identifier
1174896385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 079042-1
- Practice address
- 465 Westfall Rd
Rochester, NY 14620-4645 - Phone
- (585) 463-2668
- Fax
- (585) 463-2669
- NPI assigned
- Feb 18, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 079042-1 | NY | Primary |
Addresses
Primary practice location
465 Westfall Rd
Rochester, NY 14620-4645
Mailing address
25 Golf Stream Dr
Penfield, NY 14526-2547
Phone (585) 721-4491
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079042-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383004800000",
"number": "1174896385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 GOLF STREAM DR",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145262547",
"telephone_number": "585-721-4491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 WESTFALL RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146204645",
"telephone_number": "585-463-2668",
"fax_number": "585-463-2669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "GAIL",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-18",
"last_updated": "2013-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "079042-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.