Individual provider Active NPI

Baruch Gubnitsky

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1164171815
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100330-01 Issued in NY
Practice address
3840 Cypress Ave
Brooklyn, NY 11224-1306
Phone
(347) 768-2803
NPI assigned
Mar 21, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 100330-01 NY Primary

Addresses

Primary practice location

3840 Cypress Ave
Brooklyn, NY 11224-1306

Mailing address

3840 Cypress Ave
Brooklyn, NY 11224-1306
Phone (718) 375-1200

Other identifiers 1

IdentifierTypeStateIssuer
100330-01OtherNYLCSW

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
I20250701000612 NY Practitioner - Clinical Social Worker 6204349442 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100330NYMDSocial Worker
115484NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Health Medical PC CurrentSince Apr 27, 2025 Accepting new patients
Refreshing Therapy of Nyc Inc Clinical CurrentSince Jun 13, 2026 Accepting new patients

Locations

17 W 9th St
Brooklyn, NY 11231
Phone (718) 599-9090

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": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1164171815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 CYPRESS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241306",
            "telephone_number": "718-375-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 CYPRESS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241306",
            "telephone_number": "347-768-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBNITSKY",
        "first_name": "BARUCH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-21",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "100330-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "100330-01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.