Individual provider Active NPI

Bentzion Gruber, LCSW

  • Clinical Social Worker
  • Spring Valley, NY
National Provider Identifier
1861151565
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
098000 Issued in NY
Practice address
501 Chestnut Ridge Rd Ste 306
Spring Valley, NY 10977-5669
Phone
(845) 285-9970
NPI assigned
Dec 10, 2021
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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 098000 NY Primary

Addresses

Primary practice location

501 Chestnut Ridge Rd Ste 306
Spring Valley, NY 10977-5669

Mailing address

86 Buchanan Rd
Spring Valley, NY 10977-1976
Phone (718) 285-9970

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
I20250306002038 NY Practitioner - Clinical Social Worker 5294256293 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Assistance Resources & Extended Services Inc CurrentSince Feb 24, 2025 Accepting new patients
Gruber Counseling, Licensed Clinicial Social Work, PC Clinical CurrentSince Sep 8, 2024 Accepting new patients
Pesach Tikvah Hope Development Inc PastSince Dec 1, 2021 Accepting new patients
Pesach Tikvah Hope Development Inc Social Worker PastSince Dec 1, 2021 Accepting new patients

Locations

465 Grand St
New York, NY 10002
Phone (212) 420-1970

501 Chestnut Ridge Rd
Ste 306
Spring Valley, NY 10977
Phone (845) 285-9970

Organizations & group practices 4

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": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1861151565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 BUCHANAN RD",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771976",
            "telephone_number": "718-285-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CHESTNUT RIDGE RD STE 306",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775669",
            "telephone_number": "845-285-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "BENTZION",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-10",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

Verify at the official NPI Registry.