Carlos Demetrio Bravo Gogny, LCSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076184 Issued in NY

Practice address

3265 Johnson Ave Ste 214
Bronx, NY 10463-3539

Phone

(917) 517-5010

Fax

(718) 548-0979

NPI assigned

Oct 5, 2006

Last updated

Apr 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Riverdale Mental Health Association Inc

  • Community/Behavioral Health Agency
  • Bronx, NY
  • NPI 1174557409
  Medicare reassignment NPD
• Metropolitan Center for Mental Health, Inc.

  • Group Psychotherapy Psychologist
  • New York, NY
  • NPI 1275695371
  Medicare reassignment
• Riverdale Mental Health Association Inc

  • Adult Mental Health Clinic/Center
  • Bronx, NY
  • NPI 1982623310
  NPD

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1528154671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3265 JOHNSON AVE STE 214",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633539",
            "telephone_number": "917-517-5010",
            "fax_number": "718-548-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 JOHNSON AVE STE 214",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633539",
            "telephone_number": "917-517-5010",
            "fax_number": "718-548-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO GOGNY",
        "first_name": "CARLOS",
        "middle_name": "DEMETRIO",
        "credential": "LCSW, MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cbravogogny@msn.com",
            "affiliation": "N",
            "address_1": "3265 Johnson Ave Ste 204",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Braun
• Michael Braun, RN
• Brave Butterfly Inc
• Chana Braverman
• Joseph S Braverman, MD
• Roenny Nicole Bravo Mejia
• David Bravo
• Edwardo Christopher Bravo, LMSW
• Gisela Bravo, LCSW
• Jade Rebecca Bravo, DDS

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, 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 Apr 3, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.