Diana I Bravo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05832500 Issued in NJ

Practice address

349 E Northfield Rd
Livingston, NJ 07039-4802

Phone

(973) 350-4824

NPI assigned

Dec 5, 2018

Last updated

Jan 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546732800000",
    "number": "1912478793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BROOKDALE GDNS APT A",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070036365",
            "telephone_number": "973-350-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 E NORTHFIELD RD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394802",
            "telephone_number": "973-350-4824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Sycamore Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Ho Ho Kus",
            "state": "NJ",
            "postal_code": "074231500",
            "country_code": "US",
            "telephone_number": "551-319-1964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "DIANA",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2019-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06180000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05832500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brain Wellness MD LLC
• Brandywine Senior Living at Livingston LLC
• Patricia Bratt, PHD, PSYAD
• Scott N Braunstein, M.D.
• Joel Braverman, M.D.
• Breakthrough Psychotherapy, LLC
• Amy B. Brecher
• Jon Day Brecka, MS
• Jon Breen, DNP, APN, FNP-BC
• Bruce J. Brener, MD

• Clinical Social Worker in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2019; 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.