Justin Giambruno, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

125 Wolf Rd Ste 408
Albany, NY 12205-1251

Phone

(838) 207-9742

NPI assigned

Mar 21, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Open Hearts, Open Minds, LCSW PLLC

  • Clinical Social Worker
  • Albany, NY
  • NPI 1528948148

  Clinical, NY

  Medicare reassignment NPD Authorized official
• Eastern Door Licensed Clinical Social Work, PC

  • Clinical Social Worker
  • Rensselaer, NY
  • NPI 1528500337

  Clinical

  NPD (past)

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1770087017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WOLF RD STE 408",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WOLF RD STE 408",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051251",
            "telephone_number": "838-207-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIAMBRUNO",
        "first_name": "JUSTIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nabodita Devkota Ghimire, MD
• Ghulam Akbari Medicine PLLC
• Elizabeth M. Gialanella, PSY.D.
• Gaetano Gialanella, DDS
• Theodore Jason Gialanella, DDS
• Danielle Shriana Giammatteo, MS, OTR/L
• Jenson Richard Giammatteo, DPT
• Joseph M Giampa, DO
• Hardevi Gianchandani
• Robert Joseph Gianotti III, MD

• All providers in Albany, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.