Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Bravo, LCSW

Individual provider Social Worker · NPI 1861048951

Kimberly Bravo, LCSW is a Clinical Social Worker in New York, New York. Qualified in 2020, 6 years ago. Works from 2 locations. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1824 Madison Ave
New York, NY 10035-3832
Phone: (212) 423-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1841 Park Ave, New York City, NY 10035-1316 — (646) 459-6174

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 100114 (NY)
Social Worker Taxonomy 104100000X · Licence 111635 (NY)

Record details

NPI number1861048951
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 14, 2019
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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