Abigail Rothenberg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

098883 Issued in NY

Practice address

118 Spring St
Port Jefferson, NY 11777-1817

Phone

(631) 844-5651

Fax

(631) 844-5641

NPI assigned

Jul 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Abigail Rothenberg Professional name

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1558569285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 PROVINCE DR",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117204617",
            "telephone_number": "631-495-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SPRING ST",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771817",
            "telephone_number": "631-844-5651",
            "fax_number": "631-844-5641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Old Westbury Rd",
            "address_purpose": "LOCATION",
            "city": "Roslyn Heights",
            "state": "NY",
            "postal_code": "115772215",
            "country_code": "US",
            "telephone_number": "516-299-5373 x230",
            "fax_number": "516-299-5293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTHENBERG",
        "first_name": "ABIGAIL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098883",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "067472",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "ROTHENBERG",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Deborah Rose-Adams
• Nancy Rosenberg, LCSW
• Ella Rosenbloom, M.D.
• Steven Ira Ross, MD
• Ronald Rossi, RPA-C
• Heng Ruan
• Barry Rubin, M.D.
• Christopher Hart Rubino, RT (R), PA-C
• Maria Susan Rubino, ANP
• Joan Rubinstein, M.D.

• Clinical Social Worker in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.