Active NPI
Bryn Leigh O Donnell, LCSW
- Clinical Social Worker
- Garden City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 095998
- Practice address
- 1399 Franklin Ave Ste 302
Garden City, NY 11530-1678 - Phone
- (845) 279-5908
- Fax
- (845) 622-3636
- NPI assigned
- Aug 28, 2018
- Last updated
- Jun 15, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 100570 | NY | |
| Clinical Social Worker | 1041C0700X | 095998 | NY | Primary |
Addresses
Primary practice location
1399 Franklin Ave Ste 302
Garden City, NY 11530-1678
Mailing address
600 Franklin Ave
Garden City, NY 11530-8600
Phone (516) 639-4718
Other practice location 1
121 Brook St
Garden City, NY 11530-6405
Phone (516) 639-4718
Other practice location 2
121 Brook St
Garden City, NY 11530-6405
Phone (516) 639-4718
Other names 1
- Bryn Leigh Roberts
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260622002415 | NY | Practitioner - Clinical Social Worker | 8224501226 |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1399 Franklin Ave
Suite 302
Garden City, NY 11530-1678
Phone (845) 279-5908
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100570 | NY | MD | Social Worker |
| 095998 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carmel Psychological Health, PC | Clinical | Current | Accepting new patients |
Locations
1399 Franklin Ave
Ste 302
Garden City, NY 11530
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba LifeStance Psychology
- Psychologist
- Carmel, NY
- NPI 1720194335
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1851872733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 FRANKLIN AVE",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115308600",
"telephone_number": "516-639-4718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1399 FRANKLIN AVE STE 302",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115301678",
"telephone_number": "845-279-5908",
"fax_number": "845-622-3636"
}
],
"practiceLocations": [
{
"address_1": "121 Brook St",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "NY",
"postal_code": "115306405",
"country_code": "US",
"telephone_number": "516-639-4718",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "121 Brook St",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "NY",
"postal_code": "115306405",
"country_code": "US",
"telephone_number": "516-639-4718",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O DONNELL",
"first_name": "BRYN",
"middle_name": "LEIGH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "100570",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "095998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRYN",
"last_name": "ROBERTS",
"middle_name": "LEIGH",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Garden City, NY
- Ny Pediatric Psychiatry PLLC
- Ny Pediatric Psychiatry PLLC
- Nyc Hearing Associates of Garden City PLLC
- Nyli Medicine PLLC
- NYU Langone Hospitals (NYU Winthrop Hospital Ambulatory Surgery Center)
- Michelle O'Connell
- Kerri Lynn O'Connor, AU.D.
- Maryellen Tonry O'Connor, PT
- Erin O'Daniel, D.C
- John Francis O'Grady, D.D.S
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.