Kaia Bravo, RCSWI
Individual provider Active NPI Social Worker · Estero, FL
NPI 1811798564 · NPPES record last updated Mar 20, 2025
Key facts
- NPI
- 1811798564
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- ISW18360 (FL)
- Practice address
- 22904 Lyden Dr Unit 104
Estero, FL 33928-7048 - Phone
- (239) 494-3951
- NPI assigned
- Mar 20, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW18360 | FL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellie Mental Health of Estero | Current |
Accepting new patients |
Locations
22904 Lyden Dr
Unit 104
Estero, FL 33928
Phone (239) 494-3951
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ISW18360 | FL | Yes |
Addresses
Primary practice location
22904 Lyden Dr Unit 104
Estero, FL 33928-7048
Mailing address
16048 Herons View Dr
Alva, FL 33920-4650
Phone (941) 882-0646
Other providers in Estero, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.