Sandra Bravo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

115124 Issued in CA

Practice address

567 Leigh Ave
San Jose, CA 95128-2327

Phone

(140) 861-3409

NPI assigned

Apr 19, 2024

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": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1689429045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 LEIGH AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282327",
            "telephone_number": "140-861-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 LEIGH AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282327",
            "telephone_number": "140-861-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "SANDRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "115124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jailine Bravo
• Jan S Bravo, MD
• Jilda Leonela Bravo
• Kayla Marie Bravo, D.C.
• Monica Alexandra Bravo
• Wendy Bravo, MA
• Dana Louise Brawerman
• John Gray Brawley III, M.D.
• Breakey Prosthetics, Inc.
• Lisa Breakey, MA

• Clinical Social Worker in San Jose, CA
• Providers in San Jose, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.