MR. JOHN PHILIP GREENBAUM (NPI# 1366464117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366464117 |
| Entity Type | Individual |
| Full Name | MR. JOHN PHILIP GREENBAUM |
| Credential | LCSW R |
| Practice Address |
1050 Clove Road Staten Island NY 10301-3627 |
| Mailing Address |
55 Water St 2nd Floor Cred Dept New York NY 10041-0004 |
| Practice Telephone | 7188166440 |
| Practice Fax Number | 7188163611 |
| Mailing Telephone | 6466802888 |
| Mailing Fax Number | 5165425556 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2019-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
R0317681 | NY | Behavioral Health & Social Service Providers |
| Street Address |
1050 CLOVE ROAD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10301-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922069467 | Daniel Buchen | Dermatology | 1050 Clove Road, Staten Island, NY 10301-3627 | 2006-03-31 |
| 1568096576 | Michael Anthony Castano | Nurse Practitioner | 1050 Clove Road, Staten Island, NY 10301-3627 | 2020-02-28 |
| 1134581366 | Nadia Elisabeth Pretto | Nurse Practitioner | 1050 Clove Road, Staten Island, NY 10301 | 2016-03-26 |
| 1487031274 | Nor Darwish | Family Medicine | 1050 Clove Road, Staten Island, NY 10301 | 2015-04-30 |
| 1891182754 | Caitlin Griffin | Nurse Practitioner | 1050 Clove Road, Advantagecare Physicians, Staten Island, NY 10301 | 2015-04-17 |
| 1629497144 | Wai Phyu Zaw | Internal Medicine | 1050 Clove Road, Staten Island, NY 10301 | 2014-04-11 |
| 1891047494 | Prashant D Ankola | Optometrist | 1050 Clove Road, Staten Island, NY 10301 | 2012-10-05 |
| 1295008654 | Kristin Ann Berntsen | Nurse Practitioner | 1050 Clove Road, Staten Island, NY 10301-3627 | 2012-02-15 |
| 1013238591 | Magda F Louka | Family Medicine | 1050 Clove Road, Staten Island, NY 10301 | 2010-06-18 |
| 1851578520 | Maura O'malley | Nurse Practitioner | 1050 Clove Road, Staten Island Physician Practice, Staten Island, NY 10304-5509 | 2008-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586397 | Maria Duncan | Registered Nurse | Nurse Family Partnership, 358 St. Marks Place, 5th Floor, Staten Island, NY 10301 | 2020-04-03 |
| 1659835569 | Ipark Podiatry P.C. | Podiatrist | 970 Bard Avenue, Staten Island, NY 10301 | 2019-01-24 |
| 1386149789 | Dana Gioia | Specialist | 215 Hart Blvd Apt 5a, Staten Island, NY 10301 | 2018-03-27 |
| 1710404850 | Physical Therapy Unlimited | Preferred Provider Organization | 684 Ocean Terrace, Staten Island, NY 10301 | 2017-08-29 |
| 1356885438 | Jessica Glassman | Social Worker | 10 Dobbs Pl, Staten Island, NY 10301 | 2016-12-08 |
| 1679016372 | Amelia Rella | Speech-Language Pathologist | 60 Foote Ave, Staten Island, NY 10301 | 2016-11-29 |
| 1457714958 | Philip Kaplan | Dentist | 155 Bay Street, Unit C3, Staten Island, NY 10301 | 2016-04-01 |
| 1104284777 | Marie G Joseph | Social Worker | 2381 Hyland Blvd, Staten Island, NY 10301 | 2016-02-10 |
| 1700262565 | Courtney Pryor | Speech-Language Pathologist | 57 Westbury Avenue, Staten Island, NY 10301 | 2015-08-04 |
| 1710377999 | Jessica Maldarelli | Speech-Language Pathologist | 91 Henderson Avenue, Staten Island, NY 10301 | 2015-01-27 |
| Find all providers in zip 10301 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871781 | Samantha Rizzo-bohsali | Social Worker | 20 Clermont Pl, Staten Island, NY 10314-4020 | 2020-11-05 |
| 1770197543 | Robin E Fenley | Social Worker | 223 Mountainview Ave, Staten Island, NY 10314-5315 | 2020-08-31 |
| 1598378341 | Lori Beth Howe | Social Worker | 69 Maine Ave, Staten Island, NY 10314-2316 | 2020-08-30 |
| 1518581487 | Stephen Krysztoforski | Social Worker | 51 Alverson Loop, Staten Island, NY 10309-1748 | 2020-06-05 |
| 1720601743 | Mary L Williams | Social Worker | 693 Pelton Ave, Staten Island, NY 10310-3139 | 2020-05-26 |
| 1316585979 | Cassandra Lauletti | Social Worker | 88 New Dorp Plz S Ste 203, Staten Island, NY 10306-2902 | 2019-12-13 |
| 1427602846 | Mc Queen and Otuyelu Lcsw Wellness | Social Worker | 941 Forest Avenue, Staten Island, NY 10310 | 2019-07-25 |
| 1326601709 | Bruce Monteleon | Social Worker | 173 Maine Avenue, Staten Island, NY 10314-1031 | 2019-04-21 |
| 1407331218 | Cassedy Jene Rymer | Social Worker | 105 Hamilton Ave Rm 116, Staten Island, NY 10301-1610 | 2018-09-27 |
| 1720561996 | Yazmin Iris Perez | Social Worker | 358 Saint Marks Pl Fl 4, Staten Island, NY 10301-2417 | 2018-09-12 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.