KIMBERLY BRAVO LCSW
NPI 1861048951
Social Worker - Clinical in New York, NY

Q: What is Kimberly Bravo's NPI number?

The NPI number for Kimberly Bravo is 1861048951. It was assigned to this individual provider in the NPPES registry on August 14, 2019.

Q: What is Kimberly Bravo's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Bravo was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 14, 2019PECOS Enrolled

1824 MADISON AVE, NEW YORK, NY 10035(212) 423-4500 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2025, Sep 7, 2021, Aug 14, 2019 (3 updates tracked since 2019).

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About Kimberly Bravo Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY BRAVO LCSW (NPI 1861048951) is an individual clinical provider in New York, New York, licensed in New York (100114) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York City, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1861048951

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKIMBERLY BRAVOCredential: LCSW

Location Address1824 MADISON AVENew York, NY 10035-3832

Mailing Address830 Amsterdam Ave Apt 3fNew York, NY 10025-5128

Phone(212) 423-4500

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 14, 2019

Last NPPES UpdateAugust 4, 20253 updates tracked since enumeration

NPPES CertifiedAugust 4, 2025

✔ NPI 1861048951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NY · 100114

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License 111635 (NY)

1824 MADISON AVE, New York, NY 10035

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Secondary Practice Location 1

Location 11841 Park AveNew York City, NY 10035-1316 · Phone (646) 459-6174

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Bravo Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163920745

PECOS Enrollment IDI20250812004599

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $65.69 – $198.19

Typical copayment $0.00 (range $16.42 – $49.54)

Most-billed visit code NA

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH PORTELLI

Student in an Organized Health Care Education/Training Program