Individual provider Active NPI

Bonnie Gerbitz, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1205505120
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
037298 Issued in NY
Practice address
601A Surf Ave Apt 6B
Brooklyn, NY 11224-3407
Phone
(516) 371-5611
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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 037298 NY Primary

Addresses

Primary practice location

601A Surf Ave Apt 6B
Brooklyn, NY 11224-3407

Mailing address

PO Box 151
Lawrence, NY 11559-0151
Phone (516) 371-5611

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
I20210920002725 NY Practitioner - Clinical Social Worker 2466859376 Reassigns benefits to 1 organization

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
Group practices
Senior Behavioral Group IncGroup PAC ID 6709299019, 3 clinicians

Practice addresses (Care Compare)

18136 Kildare Rd
Jamaica, NY 11432-1534
Phone (917) 312-5697

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037298NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Behavioral Group, Inc. Clinical CurrentSince Oct 5, 2021 Accepting new patients

Organizations & group practices 1

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": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1205505120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115590151",
            "telephone_number": "516-371-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601A SURF AVE APT 6B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243407",
            "telephone_number": "516-371-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBITZ",
        "first_name": "BONNIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "037298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.