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USHER GRUENSTEIN LCSW
NPI 1023595832
Social Worker - Clinical in Jackson, NJ

Active since July 24, 2018PECOS Enrolled
101 VALLEY RD, JACKSON, NJ 08527(347) 631-5421 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 15, 2025, Jul 24, 2018 (2 updates tracked since 2018).

About Usher Gruenstein Lcsw NPPES

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

USHER GRUENSTEIN LCSW (NPI 1023595832) is an individual clinical provider in Jackson, New Jersey, licensed in New Jersey (44SC06482500) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1023595832
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameUSHER GRUENSTEINCredential: LCSW
Location Address101 VALLEY RDJackson, NJ 08527-1840
Mailing Address101 Valley RdJackson, NJ 08527-1840 · (347) 631-5421
Phone(347) 631-5421
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 24, 2018
Last NPPES UpdateMay 15, 20252 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
✔ NPI 1023595832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NJ · 44SC06482500✔ Licensed in NY · 097324
Definition
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.
101 VALLEY RD, Jackson, NJ 08527
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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)

Usher Gruenstein Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577056324
PECOS Enrollment IDI20251201003841
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 Usher Gruenstein reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lakewood Resource And Referral Center Inc
2.0 mi
Federally Qualified Health Center (FQHC)
1771 MADISON AVE
Lakewood, NJ 08701
  • Reassigned Medicare billing, New Jersey enrollment
  • 149 clinicians in this Medicare group
NPI 1083748297 (732) 364-2144

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08527 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $61.59 – $185.05
Typical copayment $0.00 (range $15.39 – $46.26)
Most-billed visit code NA
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Usher Gruenstein's NPI number?

The NPI number for Usher Gruenstein is 1023595832. It was assigned to this individual provider in the NPPES registry on July 24, 2018.

Where is Usher Gruenstein located?

Usher Gruenstein practices at 101 Valley Rd, Jackson, NJ 08527. The listed phone number is (347) 631-5421.

What is Usher Gruenstein's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Usher Gruenstein enrolled in Medicare?

Yes. Usher Gruenstein is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Usher Gruenstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Usher Gruenstein reassigns Medicare benefits to Lakewood Resource And Referral Center Inc (Lakewood, 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 Usher Gruenstein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Usher Gruenstein accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Usher Gruenstein 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 Usher Gruenstein was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.