Kelly Kane Bracken, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

096019 Issued in NY

Practice address

1126 Bald Hill Rd
Hornell, NY 14843-1262

Phone

(607) 324-7880

NPI assigned

Sep 21, 2023

Last updated

Sep 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1457139271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 BALD HILL RD",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431262",
            "telephone_number": "607-324-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 BALD HILL RD",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431262",
            "telephone_number": "607-324-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKEN",
        "first_name": "KELLY",
        "middle_name": "KANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesandra June Bertch, RN
• Kimberley A Betker, FNP
• Shannon Billings
• Kailey Elizabeth Boor, LMSW
• Eric Thomas Booth, RPH
• Lori A Brink
• Bruce W Mackellar MD PC
• Buffalo Wheelchair, Inc. (ProcAir)
• Andrea R Burch
• Elaine Burritt, NP

• Clinical Social Worker in Hornell, NY
• Providers in Hornell, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.