Active NPI
Rosemarie Bruno, LCSW
- Clinical Social Worker
- South Setauket, NY
National Provider Identifier
1336539519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 087162
- Practice address
- 3771 Nesconset Hwy Ste 102a
South Setauket, NY 11720 - Phone
- (631) 961-8836
- Fax
- (631) 961-8805
- NPI assigned
- Jan 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 087162 | NY | Primary |
Addresses
Primary practice location
3771 Nesconset Hwy Ste 102a
South Setauket, NY 11720
Mailing address
3771 Nesconset Hwy Ste 102a
South Setauket, NY 11720-1155
Phone (631) 961-8836
Other practice location 1
131 Route 25A Ste 4
Rocky Point, NY 11778-9098
Phone (631) 961-8836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180807000185 | NY | Practitioner - Clinical Social Worker | 1850649955 | Practice locations: South Setauket, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3771 Nesconset Hwy
Suite 102a
South Setauket, NY 11720-1155
Phone (631) 961-8836
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parientes of Suffolk, LCSW PC | Clinical | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Bay Shore, NY
- NPI 1689881336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1336539519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3771 NESCONSET HWY STE 102A",
"city": "SOUTH SETAUKET",
"state": "NY",
"postal_code": "117201155",
"telephone_number": "631-961-8836",
"fax_number": "631-961-8805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3771 NESCONSET HWY STE 102A",
"city": "SOUTH SETAUKET",
"state": "NY",
"postal_code": "11720",
"telephone_number": "631-961-8836",
"fax_number": "631-961-8805"
}
],
"practiceLocations": [
{
"address_1": "131 Route 25A Ste 4",
"address_purpose": "LOCATION",
"city": "Rocky Point",
"state": "NY",
"postal_code": "117789098",
"country_code": "US",
"telephone_number": "631-961-8836",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUNO",
"first_name": "ROSEMARIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-27",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "087162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.