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

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: October 18, 2026.

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Carolyn Nussbaum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tmr Mental Health Care PC
14 mi
Multi-Specialty
835 MAIN ST
Hackensack, NJ 07601
  • Reassigned Medicare billing, New Jersey and New York enrollments
  • 10 clinicians in this Medicare group
NPI 1982238184 (201) 678-1802

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLOTA GABRIEL ANTONIO NP
Nurse Practitioner (Primary Care)
80TH ST & 41ST AVE
ELMHURST, NY 11373
Queens County (718) 334-2424
MS. EWA BIERDZINSKA PA
Physician Assistant
80TH ST & 41ST AVE
ELMHURST, NY 11373
Queens County (718) 334-3150
MS. NILOFER S KESHWANI PT
Physical Therapist
80TH ST & 41ST AVE
ELMHURST, NY 11373
Queens County (718) 334-5970
MS. FLORDELIZ ORTICIO JORGE NP
Nurse Practitioner (Adult Health)
80TH ST & 41ST AVE
ELMHURST, NY 11373
Queens County (718) 334-5970
MISS MARY CALDWELL LMSW
Social Worker (Clinical)
80TH ST & 41ST AVE
ELMHURST, NY 11373
Queens County (718) 334-3900
JONATHAN JAY GLOTZER LMSW
Social Worker
80TH ST & 41ST AVE
ELMHURST, NY 11373
Queens County (718) 334-3900
MISS SOPHIE LEE OT
Occupational Therapist
80TH ST & 41ST AVE
ELMHURST, NY 11373
Queens County (718) 334-5970
MS. MICHELLE MALESA WILLIAMS NP
Nurse Practitioner (Adult Health)
80TH ST & 41ST AVE
ELMHURST, NY 11373
Queens County (718) 334-5970

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Carolyn Nussbaum located?

Carolyn Nussbaum practices at 80th St & 41st Ave, Elmhurst, NY 11373. The listed phone number is (718) 334-3900.

What is Carolyn Nussbaum's specialty?

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

Is Carolyn Nussbaum enrolled in Medicare?

Yes. Carolyn Nussbaum is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carolyn Nussbaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Nussbaum reassigns Medicare benefits to Tmr Mental Health Care PC (Hackensack, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carolyn Nussbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolyn Nussbaum accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Carolyn Nussbaum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carolyn Nussbaum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.