Individual provider Active NPI

Emily Kelman-Bravo, LCSW

  • Clinical Social Worker
  • Howard Beach, NY
National Provider Identifier
1295836948
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R028358-1 Issued in NY
Practice address
8509 151St Ave
Suite LM
Howard Beach, NY 11414-1301
Phone
(516) 594-6946
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R028358-1 NY Primary

Addresses

Primary practice location

8509 151St Ave
Suite LM
Howard Beach, NY 11414-1301

Mailing address

99 Milburn St
Rockville Centre, NY 11570-2723
Phone (516) 594-6946

Other identifiers 2

IdentifierTypeStateIssuer
080668OtherNYVALUE OPTIONS PROVIDER #
107636OtherNYMHN PROVIDER NUMBER

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

LicenseStateTypeSpecialty
R028358-1NYMDClinical Social Worker
028358NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295836948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 MILBURN ST",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115702723",
            "telephone_number": "516-594-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8509 151ST AVE",
            "address_2": "SUITE LM",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114141301",
            "telephone_number": "516-594-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELMAN-BRAVO",
        "first_name": "EMILY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R028358-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER #",
            "identifier": "080668",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN PROVIDER NUMBER",
            "identifier": "107636",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howard Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.