Individual provider Active NPI

Andrea Gray-Pincus, LCSW

  • Clinical Social Worker
  • Bethpage, NY
National Provider Identifier
1740227362
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R049873 Issued in NY
Practice address
857 S Oyster Bay Rd
Bethpage, NY 11714-1030
Phone
(516) 622-8888
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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 R049873 NY Primary

Addresses

Primary practice location

857 S Oyster Bay Rd
Bethpage, NY 11714-1030

Mailing address

1023 Court North Dr
Melville, NY 11747-8138
Phone (516) 343-8010

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
I20040419001338 NY Practitioner - Clinical Social Worker 0749275683 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

807 S Oyster Bay Rd
Bethpage, NY 11714-1030
Phone (516) 622-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R049873NYMDClinical Social Worker
049873NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Evans Center, Inc. Current Accepting new patients
Charles Evans Center, Inc CurrentSince May 17, 2023 Accepting new patients
Adults and Children With Learning and Developmental Disabilities, Inc. CurrentSince Jan 22, 2008 Accepting new patients
Adults and Children With Learning and Developmental Disabilites, Inc. CurrentSince Jan 22, 2008 Accepting new patients
Charles Evans Center, Inc CurrentSince May 17, 2023 Accepting new patients
South Bay Psychological, P.C. Past Accepting new patients

Locations

857 S Oyster Bay Rd
Bethpage, NY 11714
Phone (516) 622-8888

807 S Oyster Bay Rd
Bethpage, NY 11714
Phone (516) 622-8888

Organizations & group practices 6

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1740227362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 COURT NORTH DR",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117478138",
            "telephone_number": "516-343-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 S OYSTER BAY RD",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117141030",
            "telephone_number": "516-622-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY-PINCUS",
        "first_name": "ANDREA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R049873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

Verify at the official NPI Registry.