Sally Bruno, LCSW

Individual provider Active NPI Mental Health Counselor · Ocean, NJ

NPI 1407213481 · NPPES record last updated Apr 28, 2026

Key facts

NPI
1407213481
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
44SC05858500 (NJ)
Practice address
1205 Hwy 35
Ocean, NJ 07712-4077
Phone
(732) 556-7005
NPI assigned
Jan 22, 2016
Sex
Female
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1205 Hwy 35
Suite 2
Ocean, NJ 07712

2503 Logan Rd
Ocean, NJ 07712-3639

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250821002573 NJ Practitioner - Clinical Social Worker 2466952734 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
44SC05858500NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mis Pasos LLC Single Specialty Current
since Jun 8, 2025
Accepting new patients

Locations

1205 State Route 35
Ocean, NJ 07712
Phone (732) 663-0099

1205 Highway 35
Ste 2
Ocean, NJ 07712
Phone (732) 556-7005

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YM0800X 44SC05858500 NJ Yes

Addresses

Primary practice location

1205 Hwy 35
Ocean, NJ 07712-4077

Mailing address

2503 Logan Rd
Ocean, NJ 07712-3639
Phone (732) 556-7005

Other providers in Ocean, NJ

All providers in Ocean, NJ · Mental Health Counselor in New Jersey

Sources for this page

Verify at the official NPI Registry.