| Jonathan Grossman, LCSW | |
|
1855 Union Blvd, Bay Shore, NY 11706-7949 | |
| (631) 580-9364 | |
| (631) 580-9365 |
| Full Name | Jonathan Grossman |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 34 Years |
| Location | 1855 Union Blvd, Bay Shore, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578528667 | NPI | - | NPPES |
| 02246913 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R043922-1 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stony Brook Psychiatric Associates University Faculty Practice Corpor | 7315836731 | 87 |
| Entity Name | Stony Brook Psychiatric Associates University Faculty Practice Corpor |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437105905 PECOS PAC ID: 7315836731 Enrollment ID: O20040313000174 |
| Entity Name | Psychological Healthcare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922109578 PECOS PAC ID: 7416860572 Enrollment ID: O20040317000828 |
| Entity Name | New Horizon Counseling Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366430563 PECOS PAC ID: 4880681295 Enrollment ID: O20040428000452 |
| Entity Name | Cognitive-behavioral Psychology Services Of Long Island Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144523952 PECOS PAC ID: 1052571114 Enrollment ID: O20120327000636 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Grossman, LCSW 90 Diamond St, Ronkonkoma, NY 11779-2125 Ph: (631) 580-9364 | Jonathan Grossman, LCSW 1855 Union Blvd, Bay Shore, NY 11706-7949 Ph: (631) 580-9364 |
Meaghan Gould, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1444 5th Ave, Bay Shore, NY 11706 Phone: 631-844-5903 | |
Ellen Cinanni, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 260 Montauk Hwy, Ste-8, Bay Shore, NY 11706 Phone: 631-647-9009 | |
Allison Morimando, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1085 Courtland Dr, Bay Shore, NY 11706 Phone: 516-724-5113 | |
Debra Terry, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 260 W Main St, Suite 8, Bay Shore, NY 11706 Phone: 631-647-9009 | |
Miss Tashi Self, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1444 5th Ave, Bay Shore, NY 11706 Phone: 631-647-2048 | |
Mrs. Francine Mellow, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1444 5th Ave, Bay Shore, NY 11706 Phone: 631-926-2476 | |
Mr. Thomas Mcclendon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43 Millay Ln, Bay Shore, NY 11706 Phone: 310-904-9568 |