Active NPI
Tina Greenbaum, LCSW
- Clinical Social Worker
- Huntington Station, NY
National Provider Identifier
1932378809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R063269-1
- Practice address
- 17 Tasman LN
Huntington Station, NY 11746-1123 - Phone
- (631) 988-1109
- NPI assigned
- Feb 26, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R063269-1 | NY | Primary |
Addresses
Primary practice location
17 Tasman LN
Huntington Station, NY 11746-1123
Mailing address
6363 Christie Ave,
416
Emeryville, CA 94608
Phone (631) 988-1109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R063269-1 | NY | MD | Clinical Social Worker |
| 063269 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1932378809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6363 CHRISTIE AVE,",
"address_2": "416",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "94608",
"telephone_number": "631-988-1109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 TASMAN LN",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117461123",
"telephone_number": "631-988-1109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBAUM",
"first_name": "TINA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-26",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R063269-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.