Individual provider Active NPI

Gabrielle Shelby Austein, LCSW

  • Clinical Social Worker
  • Staten Island, NY
National Provider Identifier
1215626247
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
096883 Issued in NY
Practice address
111 Lathrop Ave
Staten Island, NY 10314-2219
Phone
(917) 588-6672
Fax
(718) 744-0878
NPI assigned
May 4, 2023
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 110514 NY
Clinical Social Worker 1041C0700X 096883 NY Primary

Addresses

Primary practice location

111 Lathrop Ave
Staten Island, NY 10314-2219

Mailing address

111 Lathrop Ave
Staten Island, NY 10314-2219
Phone (917) 588-6672

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
I20250623003090 NY Practitioner - Clinical Social Worker 6709398092 Practice locations: Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
New York University School of Medicine, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

111 Lathrop Ave
Staten Island, NY 10314-2219
Phone (917) 588-6672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110514NYMDSocial Worker
096883NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Solutions LCSW PLLC Clinical PastSince Dec 7, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1215626247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LATHROP AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142219",
            "telephone_number": "917-588-6672",
            "fax_number": "718-744-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LATHROP AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142219",
            "telephone_number": "917-588-6672",
            "fax_number": "718-744-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTEIN",
        "first_name": "GABRIELLE",
        "middle_name": "SHELBY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "110514",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.