South Bay Counseling, Lcsw PC
NPI 1992112510ActiveOrganization· Social Worker, Clinical· Amityville, NY
Social Worker, Clinical in Amityville, New York, registered in NPPES in July 2014. The authorized official on file is Elissa Grunblatt, LCSW-R, President/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1992112510 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 15, 2014 |
| Last updated in NPPES | May 5, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 069889 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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