Roberta Marie Bruni, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 12347 Issued in FL

Practice address

11795 Dauphin Ave
Seminole, FL 33778-2908

Phone

(716) 481-8271

NPI assigned

Apr 6, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1649412685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11795 DAUPHIN AVE",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337782908",
            "telephone_number": "716-481-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11795 DAUPHIN AVE",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337782908",
            "telephone_number": "716-481-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNI",
        "first_name": "ROBERTA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "007873-2015",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 12347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia K Brown
• Veronica Brown
• Robin Bruce, LMT, NMT
• James Brucker
• Ronald Dale Bruinius
• Yanellis Bryant
• Marlena Ann Buitrago, MSN, APRN, FNP-BC
• Constance Ann Bumiller, ARNP
• David Paul Bunn, DDS
• Billie J. Burg, N.R.C., LMHC, NCGCII

• Clinical Social Worker in Seminole, FL
• Providers in Seminole, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.