Gwenn A. Nusbaum, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R025090-1 Issued in NY

Practice address

232 E 12TH St
Apt. 6B
New York, NY 10003-9151

Phone

(212) 529-3323

NPI assigned

Feb 8, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2016 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194798355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 E 12TH ST",
            "address_2": "APT. 6B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100039151",
            "telephone_number": "212-529-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 E 12TH ST",
            "address_2": "APT. 6B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100039151",
            "telephone_number": "212-529-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSBAUM",
        "first_name": "GWENN",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R025090-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nurture Speech and Feeding Therapy, PLLC
• Diana Nurutdinova, MD
• Aliza Carly Nusbaum
• Annette Obolevich Nusbaum, M.D.
• Barbara Joy Nusbaum, PHD
• Julie Sabrina Nusbaum, MD
• Adam Michael Nusblatt, DMD
• Abigail Nussbaum
• Alexandra Cayla Nussbaum, NP
• Allie Nussbaum, NP

• 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 Jul 13, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.