Theodore Melvin Bunin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R032674-1 Issued in NY

Practice address

1237 Knox Rd
Wynnewood, PA 19096-2459

Phone

(610) 338-5086

Fax

(516) 371-6640

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, PA2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1710082375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 KNOX RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962459",
            "telephone_number": "610-338-5086",
            "fax_number": "516-371-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 KNOX RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962459",
            "telephone_number": "610-338-5086",
            "fax_number": "516-371-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNIN",
        "first_name": "THEODORE",
        "middle_name": "MELVIN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R032674-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Eileen Brown, DO
• Nicole Bryan, PA-C
• Melissa Diane Buchter, CRNP
• Jacob Buddemeier
• Maria A. Buhl, RN,MSN,CRNP
• Karina Vladimirovna Burda, MD
• Robert Charles Burgese Jr.
• David William Burgess, M.D.
• Katherine Elizabeth Burghart, CRNP
• Umber Burhan, MD

• Clinical Social Worker in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.