XIMENA BRAVO (NPI# 1487039400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487039400 |
| Entity Type | Individual |
| Full Name | XIMENA BRAVO |
| Credential | LCSW |
| Practice Address |
245 S Gary Ave Suite Ll Bloomingdale IL 60108-2228 |
| Practice Telephone | 6308935230 |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2016-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.015922 | IL | Behavioral Health & Social Service Providers |
| Street Address |
245 S GARY AVE SUITE LL |
| City | BLOOMINGDALE |
| State | IL |
| Zip Code | 60108-2228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215921952 | Pahcs II | Clinic/Center | 245 S Gary Ave, Ste 101, Bloomingdale, IL 60108-2228 | 2005-09-08 |
| 1568945509 | Katherine Ann Collins | Registered Nurse | 245 S Gary Ave, Bloomingdale, IL 60108-2228 | 2018-09-14 |
| 1790266971 | Benjamin Hodges | Physician Assistant | 245 S Gary Ave, Bloomingdale, IL 60108-2228 | 2018-08-24 |
| 1841748167 | Viviana Rivera | Nurse Practitioner | 245 S Gary Ave, Bloomingdale, IL 60108-2228 | 2016-09-15 |
| 1427447713 | Tri Colin Cong Tran | Physician Assistant | 245 S Gary Ave, Bloomingdale, IL 60108-2228 | 2015-01-09 |
| 1326436767 | Michael Vosicky Do Family Healthcare LLC | Family Medicine | 245 S Gary Ave, Suite 204, Bloomingdale, IL 60108-2228 | 2015-01-08 |
| 1225438278 | Jenny Koshy | Nurse Practitioner | 245 S Gary Ave, Suite 100, Bloomingdale, IL 60108-2228 | 2014-08-27 |
| 1467873174 | Victor Ferenzi | Physical Therapist | 245 S Gary Ave, Suite 101, Bloomingdale, IL 60108-2228 | 2013-12-23 |
| 1124384789 | Kavita Shanker-patel | Family Medicine | 245 S Gary Ave, Bloomingdale, IL 60108-2228 | 2012-04-09 |
| 1518251149 | Tally Lynn Hollin | Nurse Practitioner | 245 S Gary Ave, Lower Level, Bloomingdale, IL 60108-2228 | 2011-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1366056731 | Morgan Proctor | Physical Medicine & Rehabilitation | West Suburban Nursing and Rehabilitation, 311 Edgewater Drive, Bloomingdale, IL 60108 | 2020-09-03 |
| 1427549427 | Soohee Choi | Nurse Practitioner | 303 E Army Trail Rd Ste 100, Bloomingdale, IL 60108 | 2018-05-24 |
| 1427571710 | Priya Sanil Mathew | Nurse Practitioner | 151 Los Lagos Dr, Bloomingdale, IL 60108 | 2017-07-19 |
| 1538610100 | Saher Sayed | Optometrist | 102 Stratford Dr., Bloomingdale, IL 60108 | 2016-10-19 |
| 1215388939 | Kathy Mcnulty, Lcsw, LLC | Community/Behavioral Health | 1 Tiffany Point, Suite 117, Bloomingdale, IL 60108 | 2016-06-23 |
| 1689023889 | Agnes G Nawrot | Nurse Practitioner | 348 Golfview Court, Bloomingdale, IL 60108 | 2016-06-08 |
| 1023484045 | Amber Cotter | Social Worker | 203 Regency Drive, Unit 519, Bloomingdale, IL 60108 | 2015-08-13 |
| 1891176988 | Gunveen Chawla | Dentist | 366 W Army Trail Rd Ste 310a, Bloomingdale, IL 60108 | 2015-06-15 |
| 1922492396 | Allison Marie Schnitzler | Family Medicine | 245 S Gary Ave Ste 100, Bloomingdale, IL 60108 | 2015-03-24 |
| Find all providers in zip 60108 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952931727 | Gina Gattuso | Social Worker | 252 Hillandale Dr, Bloomingdale, IL 60108-1464 | 2020-01-21 |
| 1518316330 | Linda Lee Palmisano | Social Worker | 314 Ridgewood Dr, Bloomingdale, IL 60108-2532 | 2016-06-13 |
| 1417238874 | Andrew J Beyrer | Social Worker | 639 John Carter Rd, Bloomingdale, GA 31302-8065 | 2011-08-30 |
| 1538455936 | Rebecca Lepoff | Social Worker | 1 Tiffany Pt Ste 105, Bloomingdale, IL 60108-2915 | 2011-06-23 |
| 1912293887 | Jennifer Adams-barsch | Social Worker | 23 South Rd, Bloomingdale, NJ 07403-1425 | 2011-06-20 |
| 1346485869 | Pamela G Lawson | Social Worker | 302 Brookdale Drive, Bloomingdale, IL 60108 | 2008-12-12 |
| 1255548780 | Steven Glenn Hunter | Social Worker | 125 E Lake St Ste 206, Bloomingdale, IL 60108-1117 | 2007-05-16 |
| 1629102199 | Barbara Boswell Frachalla | Social Worker | 120 Lakeview Dr Apt 321, Bloomingdale, IL 60108-1141 | 2007-03-15 |
| 1932201472 | Mary Lynn Anderson | Social Worker | 125 E Lake St Ste 203, Bloomingdale, IL 60108-1117 | 2006-09-04 |
| 1992717813 | Jacqueline Lee Wolfe | Social Worker | 134 W Lake St, Bloomingdale, IL 60108-1020 | 2006-08-12 |
| Find all providers in BLOOMINGDALE | ||||
| City | BLOOMINGDALE |
| Zip Code | 60108 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.