Active NPI
Bruce Adam Birnberg, MSW, LMSW, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1124500244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 036268
- Practice address
- 205 W End Ave Apt 1R
New York, NY 10023-4817 - Phone
- (732) 991-6298
- NPI assigned
- Sep 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 036268 | NY | Primary |
| Clinical Social Worker | 1041C0700X | 44SC00287300 | NJ |
Addresses
Primary practice location
205 W End Ave Apt 1R
New York, NY 10023-4817
Mailing address
345 Ocean Blvd Unit 404
Long Branch, NJ 07740-6472
Phone (732) 991-6298
Other practice location 1
345 Ocean Blvd Unit 404
Long Branch, NJ 07740-6472
Phone (732) 991-6298
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190514002024 | NY | Practitioner - Clinical Social Worker | 3779623426 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
205 W End Ave
Apt 1R
New York, NY 10023-4817
Phone (732) 991-6298
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036268 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bonnie Gordic PSYD LLC | Past | Accepting new patients | |
| Service Program for Older People | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1831644657
-
- Clinical Psychologist
- Highland Park, NJ
- NPI 1326924333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1124500244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 OCEAN BLVD UNIT 404",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "077406472",
"telephone_number": "732-991-6298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 W END AVE APT 1R",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100234817",
"telephone_number": "732-991-6298"
}
],
"practiceLocations": [
{
"address_1": "345 Ocean Blvd Unit 404",
"address_purpose": "LOCATION",
"city": "Long Branch",
"state": "NJ",
"postal_code": "077406472",
"country_code": "US",
"telephone_number": "732-991-6298",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIRNBERG",
"first_name": "BRUCE",
"middle_name": "ADAM",
"name_prefix": "Mr.",
"credential": "MSW, LMSW, LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-05",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "036268",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC00287300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.