Individual provider Active NPI

Marc Raybin, LCSW

  • Clinical Social Worker
  • Great Neck, NY
National Provider Identifier
1487076949
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
73050178 Issued in NY
Practice address
35 Knightsbridge Rd
Apt 3I
Great Neck, NY 11021-4540
Phone
(718) 440-5475
NPI assigned
Jan 16, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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 73050178 NY Primary

Addresses

Primary practice location

35 Knightsbridge Rd
Apt 3I
Great Neck, NY 11021-4540

Mailing address

35 Knightsbridge Rd
Apt 3I
Great Neck, NY 11021-4540
Phone (718) 440-5475

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
I20180920002294 NY Practitioner - Clinical Social Worker 9739430349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Service Program for Older People IncGroup PAC ID 2668373135, 15 clinicians

Practice addresses (Care Compare)

302 W 91St St
New York, NY 10024-1011
Phone (212) 787-7120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
73050178NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Service Program for Older People, Inc CurrentSince Aug 10, 2018 Accepting new patients
Service Program for Older People PastSince Aug 10, 2018 Accepting new patients

Locations

302 W 91st St
New York, NY 10024
Phone 2127877120528

331 E 70th St
New York, NY 10021
Phone (212) 218-0444

Organizations & group practices 2

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": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1487076949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 KNIGHTSBRIDGE RD",
            "address_2": "APT 3I",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214540",
            "telephone_number": "718-440-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 KNIGHTSBRIDGE RD",
            "address_2": "APT 3I",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214540",
            "telephone_number": "718-440-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYBIN",
        "first_name": "MARC",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-16",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73050178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.