MR. DAVID GRAND L.C.S.W.
NPI 1285972075
Social Worker - Clinical in Bellmore, NY

Active since January 29, 2013Opted out of Medicare · through Jan 1, 2028
2415 JERUSALEM AVE, SUITE 105, BELLMORE, NY 11710(516) 785-0460(516) 799-7625 Get Directions Write a Review

NPPES record last updated: January 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. David Grand L.c.s.w. NPPES

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

MR. DAVID GRAND L.C.S.W. (NPI 1285972075) is an individual clinical provider in Bellmore, New York, licensed in New York (PRO17990-1) and active in the NPI registry since January 2013. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1285972075
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. DAVID GRANDCredential: L.C.S.W.
Location Address2415 JERUSALEM AVE, SUITE 105Bellmore, NY 11710
Mailing Address2415 Jerusalem Ave, Suite 105Bellmore, NY 11710 · (516) 785-0460 · Fax (516) 799-7625
Fax(516) 799-7625
Sole ProprietorYes
Enumeration DateJanuary 29, 2013
NPI 1285972075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NY · PRO17990-1
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.
2415 JERUSALEM AVE, Bellmore, NY 11710

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mr. David Grand L.c.s.w. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2018 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2018
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 19

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

Pediatrics
2415 JERUSALEM AVE
N BELLMORE, NY 11710
Case Management
2415 JERUSALEM AVE
NORTH BELLMORE, NY 11710
Physical Therapist (Pediatrics)
2415 JERUSALEM AVE, SUITE 106
NORTH BELLMORE, NY 11710
Clinic/Center (Health Service)
2415 JERUSALEM AVE, SUITE 106
NORTH BELLMORE, NY 11710
Social Worker
2415 JERUSALEM AVE, STE 107
N BELLMORE, NY 11710
Social Worker (Clinical)
2415 JERUSALEM AVE
NORTH BELLMORE, NY 11710
Physical Therapist (Pediatrics)
2415 JERUSALEM AVE, SUITE 106
NORTH BELLMORE, NY 11710
Dentist (Periodontics)
2415 JERUSALEM AVE
NORTH BELLMORE, NY 11710

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 David Grand's NPI number?

The NPI number for David Grand is 1285972075. It was assigned to this individual provider in the NPPES registry on January 29, 2013.

Where is David Grand located?

David Grand practices at 2415 Jerusalem Ave Suite 105, Bellmore, NY 11710. The listed phone number is (516) 785-0460.

What is David Grand's specialty?

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

Is David Grand enrolled in Medicare?

No. David Grand has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for David Grand was last updated on January 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.