Individual provider Active NPI

Bruce Adam Birnberg, MSW, LMSW, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1124500244
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
036268 Issued in NY
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

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
036268NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bonnie Gordic PSYD LLC PastSince Aug 17, 2025 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.

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

Verify at the official NPI Registry.