Individual provider Active NPI

Danielle Eisenberg, LMSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1538645205
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088567 Issued in NY
Practice address
80 5TH Avenue
Suite 903
New York, NY 10011-1001
Phone
(212) 633-9162
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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 088567 NY Primary

Addresses

Primary practice location

80 5TH Avenue
Suite 903
New York, NY 10011-1001

Mailing address

55 Hampshire Dr
Farmingdale, NY 11735-2123
Phone (516) 398-3606

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
I20240916002191 NY Practitioner - Clinical Social Worker 6406397652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Lutheran Pastoral Counseling Ministry IncGroup PAC ID 0749608032, 5 clinicians

Practice addresses (Care Compare)

132 Jefferson Ave
Mineola, NY 11501-2712
Phone (516) 741-0994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
088567NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Pastoral Counseling Ministry Inc CurrentSince Jul 11, 2024 Accepting new patients

Locations

20 Candlewood Path
Dix Hills, NY 11746
Phone (516) 673-6171

132 Jefferson Ave
Mineola, NY 11501
Phone (516) 741-0994

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": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1538645205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HAMPSHIRE DR",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352123",
            "telephone_number": "516-398-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 5TH AVENUE",
            "address_2": "SUITE 903",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100111001",
            "telephone_number": "212-633-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "DANIELLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.