Green Leaf Counseling LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GREEN LEAF COUNSELING LCSW PLLC

Practice address

1216 Broadway # 45F
New York, NY 10001-4483

Phone

(631) 500-0471

NPI assigned

Sep 15, 2025

Organization subpart

No

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

Authorized official

Name

Fanchette Grunblatt, LCSWNPI 1598362576

Title

Owner

Phone

(631) 896-7389

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fanchette Grunblatt, LMSW

  • Clinical Social Worker
  • Copiague, NY
  • NPI 1598362576
  NPD Authorized official

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1053282954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 BROADWAY # 45F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014483",
            "telephone_number": "631-500-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 BROADWAY # 45F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014483",
            "telephone_number": "631-500-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LEAF COUNSELING LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "GRUNBLATT",
        "authorized_official_first_name": "FANCHETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-896-7389",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green Apple Acupuncture PC
• Green Care Physical Therapy, P.C.
• Green Dentistry, P.C.
• Janette Karen Green Hurt, L.P.N.
• Green Key Resources
• Green Leaf Physical Therapy PC
• Tamara Jean Green-Dachinger, TAMARA
• Rochelle Gloria Green-Doctor, M.A., OTR
• Claire J Green-Forde, LCSW
• Andrea S. Green-Lewis, LCSW-R

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.