Individual provider Active NPI

Bryn Leigh O Donnell, LCSW

  • Clinical Social Worker
  • Garden City, NY
National Provider Identifier
1851872733
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
095998 Issued in NY
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
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
Carmel Psychological Health PCGroup PAC ID 4385530351, 222 clinicians

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

LicenseStateTypeSpecialty
100570NYMDSocial Worker
095998NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Psychological Health, PC Clinical CurrentSince Jul 6, 2026 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.

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

Sources for this page

Verify at the official NPI Registry.