Active NPI
Susan Birenbaum, LCSW
- Clinical Social Worker
- Hewlett, NY
National Provider Identifier
1992845796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R038015-1
- Practice address
- 1234 W Broadway
Hewlett, NY 11557-1929 - Phone
- (516) 637-9650
- NPI assigned
- Feb 8, 2007
- 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 | R038015-1 | NY | Primary |
Addresses
Primary practice location
1234 W Broadway
Hewlett, NY 11557-1929
Mailing address
362 E Penn St
Long Beach, NY 11561-4332
Phone (516) 432-0730
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 611299 | Other | NY | VALUE OPTIONS, |
| NBF511 | Other | NY | EMPIRE BLUE CROSS BLUESHIELD |
| 0232059 | Other | NY | EMBLEM HEALTH |
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 |
|---|---|---|---|---|
| I20060426000890 | NY | Practitioner - Clinical Social Worker | 0345250940 | Practice locations: Long Beach, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
362 E Penn St
Long Beach, NY 11561-4332
Phone (516) 637-9650
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R038015-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Counseling LCSW, PLLC | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1992845796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "362 E PENN ST",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115614332",
"telephone_number": "516-432-0730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 W BROADWAY",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115571929",
"telephone_number": "516-637-9650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRENBAUM",
"first_name": "SUSAN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R038015-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS,",
"identifier": "611299",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS BLUESHIELD",
"identifier": "NBF511",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMBLEM HEALTH",
"identifier": "0232059",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hewlett, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.