Active NPI
Darryl W Bruno, LCSW, ACSW, BACS
- Clinical Social Worker
- Mandeville, LA
National Provider Identifier
1710072178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2740
- Practice address
- 2250 Dupard St
Mandeville, LA 70448-3626 - Phone
- (504) 451-4582
- Fax
- (815) 676-8210
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2740 | LA | Primary |
| Clinical Social Worker | 1041C0700X | C8179 | MS |
Addresses
Primary practice location
2250 Dupard St
Mandeville, LA 70448-3626
Mailing address
2250 Dupard St
Mandeville, LA 70448-3626
Phone (504) 451-4582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1987
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
110 W Erlanger St
Poplarville, MS 39470-3009
Phone (601) 746-5125
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2740 | LA | MD | Clinical Social Worker |
| C8179 | MS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruno Counseling and Consulting Services, LLC | Clinical | Current | Accepting new patients |
Locations
110 W Erlanger St
Poplarville, MS 39470
Phone (601) 746-5125
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Poplarville, MS
- NPI 1922492321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417478400000",
"number": "1710072178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 DUPARD ST",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704483626",
"telephone_number": "504-451-4582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 DUPARD ST",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704483626",
"telephone_number": "504-451-4582",
"fax_number": "815-676-8210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO",
"first_name": "DARRYL",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "LCSW, ACSW, BACS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2014-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "2740",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C8179",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.