Individual provider Active NPI

Debra Bruno, L.C.S.W.

  • Clinical Social Worker
  • New Hyde Park, NY
National Provider Identifier
1467502229
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
025925-1 Issued in NY
Practice address
1881 Stewart Ave
New Hyde Park, NY 11040-1623
Phone
(516) 352-6911
Fax
(516) 352-6911
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2015

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 025925-1 NY Primary

Addresses

Primary practice location

1881 Stewart Ave
New Hyde Park, NY 11040-1623

Mailing address

1881 Stewart Ave
New Hyde Park, NY 11040-1623
Phone (516) 352-6911

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110323000659 NY Practitioner - Clinical Social Worker 8628251980 Practice locations: New Hyde Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1881 Stewart Ave
New Hyde Park, NY 11040-1623
Phone (516) 352-6911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025925-1NYMDClinical Social Worker
025925NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1467502229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 STEWART AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401623",
            "telephone_number": "516-352-6911",
            "fax_number": "516-352-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 STEWART AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401623",
            "telephone_number": "516-352-6911",
            "fax_number": "516-352-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "DEBRA",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "025925-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.