Individual provider Active NPI

Kaitlyn D. Bruneau, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1932624111
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088735 Issued in NY
Practice address
280 Madison Ave RM 608
New York, NY 10016-0800
Phone
(332) 203-2340
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 58.010202 CT
Clinical Social Worker 1041C0700X 088735 NY Primary
Clinical Social Worker 1041C0700X TPSW1144 FL
Clinical Social Worker 1041C0700X 2227 CT
Clinical Social Worker 1041C0700X 44SC06335600 NJ
Clinical Social Worker 1041C0700X 089.0134869TELE VT

Addresses

Primary practice location

280 Madison Ave RM 608
New York, NY 10016-0800

Mailing address

280 Madison Ave RM 608
New York, NY 10016-0800
Phone (332) 203-2340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
58.010202CTMDClinical Social Worker
TPSW1144FLMDClinical Social Worker
44SC06335600NJMDClinical Social Worker
088735NYMDClinical Social Worker
089.0134869TELEVTMDClinical Social Worker
2227CTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Allen, LCSW, PLLC Clinical PastSince Dec 29, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1932624111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE RM 608",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160800",
            "telephone_number": "332-203-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE RM 608",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160800",
            "telephone_number": "332-203-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNEAU",
        "first_name": "KAITLYN",
        "middle_name": "D.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "58.010202",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088735",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "TPSW1144",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "2227",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06335600",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0134869TELE",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.