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CARRIE DAWN NUSSBAUMGRANT LMSW
NPI 1114523347
Social Worker in Staten Island, NY

Active since December 11, 2020PECOS Enrolled
402 MANOR RD # B, STATEN ISLAND, NY 10314(917) 770-0698 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carrie Dawn Nussbaumgrant Lmsw NPPES

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

CARRIE DAWN NUSSBAUMGRANT LMSW (NPI 1114523347) is an individual social worker in Staten Island, New York, licensed in New York (08923401) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114523347
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameCARRIE DAWN NUSSBAUMGRANTCredential: LMSW
Location Address402 MANOR RD # BStaten Island, NY 10314-2959
Mailing Address402 Manor Rd # BStaten Island, NY 10314-2959 · (917) 770-0698
Phone(917) 770-0698
Sole ProprietorNo
Enumeration DateDecember 11, 2020
NPPES CertifiedDecember 11, 2020
✔ NPI 1114523347 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 · 08923401
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.
402 MANOR RD # B, Staten Island, NY 10314
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carrie Dawn Nussbaumgrant Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Carrie Nussbaumgrant's NPI number?

The NPI number for Carrie Nussbaumgrant is 1114523347. It was assigned to this individual provider in the NPPES registry on December 11, 2020.

Where is Carrie Nussbaumgrant located?

Carrie Nussbaumgrant practices at 402 Manor Rd # B, Staten Island, NY 10314. The listed phone number is (917) 770-0698.

What is Carrie Nussbaumgrant's specialty?

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

Is Carrie Nussbaumgrant enrolled in Medicare?

Yes. Carrie Nussbaumgrant is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carrie Nussbaumgrant was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.