CAROLYN ANNE NUSSBAUM LCSW
NPI 1013088509
Social Worker in Elmhurst, NY

Q: What is Carolyn Nussbaum's NPI number?

The NPI number for Carolyn Nussbaum is 1013088509. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Q: What is Carolyn Nussbaum's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Nussbaum was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 13, 2006PECOS Enrolled

80TH ST & 41ST AVE, ELMHURST, NY 11373(718) 334-3900(718) 334-5958 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Carolyn Anne Nussbaum Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN ANNE NUSSBAUM LCSW (NPI 1013088509) is an individual social worker in Elmhurst, New York, licensed in New York (R50896) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1013088509

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameCAROLYN ANNE NUSSBAUMCredential: LCSW

Location Address80TH ST & 41ST AVEElmhurst, NY 11373-1329

Mailing Address7901 Broadway, Managed Care, D1-01Elmhurst, NY 11373-1329 · (718) 334-1921 · Fax (718) 334-3432

Phone(718) 334-3900

Fax(718) 334-5958

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateNovember 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1013088509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · R50896

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

80TH ST & 41ST AVE, Elmhurst, NY 11373

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Other Identifiers 2

Medicaid00246075NY

Medicare ID-Type Unspecified0033S128NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn Anne Nussbaum Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921583881

PECOS Enrollment IDI20260327004015, I20260401002471

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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