Individual provider Active NPI

Adam Ross Greenberg, LMSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1679112932
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107498 Issued in NY
Practice address
7706 13TH Ave Ste 2
Brooklyn, NY 11228-2414
Phone
(718) 640-2270
NPI assigned
Jan 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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 107498 NY Primary

Addresses

Primary practice location

7706 13TH Ave Ste 2
Brooklyn, NY 11228-2414

Mailing address

7706 13TH Ave Ste 2
Brooklyn, NY 11228-2414
Phone (718) 640-2270

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mrgreenberg@longislandpsy.com Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
107498NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1679112932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7706 13TH AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282414",
            "telephone_number": "718-640-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7706 13TH AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282414",
            "telephone_number": "718-640-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "ADAM",
        "middle_name": "ROSS",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-03",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "107498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrgreenberg@longislandpsy.com",
            "affiliation": "N",
            "endpointDescription": "Work email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "400 S Oyster Bay Rd Ste 102",
            "city": "Hicksville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "118013500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.