Lenore Mennin Bruce, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSWR019044 Issued in NY

Practice address

3623 Main St
Stone Ridge, NY 12484-5613

Phone

(845) 687-0687

NPI assigned

Oct 26, 2006

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 28, 2018 through Jun 28, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962587857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 MAIN ST",
            "city": "STONE RIDGE",
            "state": "NY",
            "postal_code": "124845613",
            "telephone_number": "845-687-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 MAIN ST",
            "city": "STONE RIDGE",
            "state": "NY",
            "postal_code": "124845613",
            "telephone_number": "845-687-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "LENORE",
        "middle_name": "MENNIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "LCSWR019044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andy Lapides LCSW PLLC
• Anthony Gaudioso, PH.D, Licensed Mental Health Counselor, P.C.
• Kent Babcock, MSW, LMSW
• Izabel Eda Burd-Tamdogan, MSW-LP
• Marquita Byrd
• Kathleen Jean Caproni, PH.D.
• Rachel Ann Carron, RD, CDN, CDE
• John F Cattich, PH.D,, M.S., M.DIV.,

• All providers in Stone Ridge, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.