Active NPI
Robert Greenberger, LCSW
- Clinical Social Worker
- Melville, NY
National Provider Identifier
1225598915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 073261-1
- Practice address
- 445 Broadhollow Rd Ste 25
Melville, NY 11747-3645 - Phone
- (516) 873-8056
- NPI assigned
- Mar 20, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 073261-1 | NY | Primary |
Addresses
Primary practice location
445 Broadhollow Rd Ste 25
Melville, NY 11747-3645
Mailing address
16 Foothill LN
Smithtown, NY 11787-2348
Phone (631) 766-1210
Other practice location 1
16 Foothill Ln
Smithtown, NY 11787-2348
Phone (631) 766-1210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 073261-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keybridge Systems, LLC | Clinical | Past | 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.
-
- Clinical Social Worker
- Melville, NY
- NPI 1679126312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557705600000",
"number": "1225598915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 FOOTHILL LN",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872348",
"telephone_number": "631-766-1210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 BROADHOLLOW RD STE 25",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473645",
"telephone_number": "516-873-8056"
}
],
"practiceLocations": [
{
"address_1": "16 Foothill Ln",
"address_purpose": "LOCATION",
"city": "Smithtown",
"state": "NY",
"postal_code": "117872348",
"country_code": "US",
"telephone_number": "631-766-1210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREENBERGER",
"first_name": "ROBERT",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-20",
"last_updated": "2019-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "073261-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.