Jaclyn Bruno, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

94346 Issued in NY

Practice address

41A W Merrick Rd Ste 2
Valley Stream, NY 11580-5708

Phone

(516) 500-3528

NPI assigned

Oct 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mind Meets Movement Counseling Services, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lynbrook, NY
  • NPI 1750909644
  NPD (past)

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1205433869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15755 17TH RD",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573253",
            "telephone_number": "516-714-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41A W MERRICK RD STE 2",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805708",
            "telephone_number": "516-500-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "JACLYN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "94346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaterah Brown, MHC
• Lashan Brown, LMSW
• Melissa Brown
• Tanesia Brown
• Christie C Bruno
• Bruvildo-Inc.
• Nicole Marie Buccheri
• Jacqueline Celed Budds, RN
• Buenos Aires Business Corp
• Ann Buhl, M.D.

• Social Worker in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.