Stephen J Gross

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

091597-01 Issued in NY

Practice address

74 New York Ave Ste 2
Halesite, NY 11743-2173

Phone

(516) 647-5154

Fax

(516) 271-3137

NPI assigned

Sep 20, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Federation of Organizations for the Ny State Mentally Disabled Inc

  • Community/Behavioral Health Agency
  • West Babylon, NY
  • NPI 1346433307

  NY

  Medicare reassignment NPD
• Inner Practice Guidance Counseling LCSW PLLC

  • Clinical Social Worker
  • Huntington, NY
  • NPI 1629958434

  Clinical

  NPD Authorized official
• Risewell Community Services

  • Clinic/Center
  • Wyandanch, NY
  • NPI 1275927600
  NPD
• Risewell Community Services

  • Counselor
  • Copiague, NY
  • NPI 1396102091
  NPD

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1144656273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 FAIRMOUNT ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433502",
            "telephone_number": "516-647-5154",
            "fax_number": "516-271-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 NEW YORK AVE STE 2",
            "city": "HALESITE",
            "state": "NY",
            "postal_code": "117432173",
            "telephone_number": "516-647-5154",
            "fax_number": "516-271-3137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Madison St",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "117432744",
            "country_code": "US",
            "telephone_number": "516-647-5154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSS",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-20",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091597-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Elsharouny
• Tracy Ann Erickson
• Katherine Margaret Fautas, RD, CDN
• Patricia Fuchs, L.C.S.W.
• Shari Lynn Grey Bethiel, OTRL
• Healing Hands Therapy
• Patricia Johnson, LCSW
• Annie Rose Levinson, MS, CCLS
• Jacqueline Libretti, BCBA
• Marie Mitchell, RDN

• All providers in Halesite, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.