Individual provider Active NPI

Avrahom Rosenberg

  • Clinical Social Worker
  • Spring Valley, NY
National Provider Identifier
1356739916
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088929 Issued in NY
Practice address
1 Spring Rock PL
Spring Valley, NY 10977-1715
Phone
(718) 916-3911
NPI assigned
Jan 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 092422 NY
Clinical Social Worker 1041C0700X 44SC05811200 NJ
Clinical Social Worker 1041C0700X 088929 NY Primary

Addresses

Primary practice location

1 Spring Rock PL
Spring Valley, NY 10977-1715

Mailing address

1 Spring Rock PL
Spring Valley, NY 10977-1715
Phone (718) 916-3911

Other practice location 1

7 Cliff St
West Orange, NJ 07052-2105
Phone (718) 916-3911

Other practice location 2

425 Kings Hwy
Brooklyn, NY 11223-1629
Phone (718) 787-1100

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
I20250929003728 NY Practitioner - Clinical Social Worker 0749786820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Care Therapy LCSW of New York PLLCGroup PAC ID 7113269010, 63 clinicians

Practice addresses (Care Compare)

14415 68TH Rd
Flushing, NY 11367-1330
Phone (973) 264-0023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
092422NYMDSocial Worker
44SC05811200NJMDClinical Social Worker
088929NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care Therapy LCSW of New York PLLC Clinical CurrentSince Sep 1, 2025 Accepting new patients
Sephardic Bikur Holim Past Accepting new patients
SBH Community Service Network, Inc. PastSince Aug 22, 2011 Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

Organizations & group practices 3

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": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1356739916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SPRING ROCK PL",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771715",
            "telephone_number": "718-916-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SPRING ROCK PL",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771715",
            "telephone_number": "718-916-3911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Cliff St",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070522105",
            "country_code": "US",
            "telephone_number": "718-916-3911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112231629",
            "country_code": "US",
            "telephone_number": "718-787-1100",
            "fax_number": "787-787-9598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "AVRAHOM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-06",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "092422",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05811200",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

Verify at the official NPI Registry.