ELISSA GRUNBLATT LCSW-R
NPI 1417961426
Social Worker - Clinical in Amityville, NY

Q: What is Elissa Grunblatt's NPI number?

The NPI number for Elissa Grunblatt is 1417961426. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Q: What is Elissa Grunblatt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elissa Grunblatt was last updated on February 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment

191 BROADWAY, AMITYVILLE, NY 11701(631) 264-0058(631) 264-0056 Get Directions Write a Review

NPPES record last updated: February 5, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Elissa Grunblatt Lcsw-r NPPES

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

ELISSA GRUNBLATT LCSW-R (NPI 1417961426) is an individual clinical provider in Amityville, New York, licensed in New York (069889-1) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1417961426

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameELISSA GRUNBLATTCredential: LCSW-R

Location Address191 BROADWAYAmityville, NY 11701-2790

Mailing Address191 BroadwayAmityville, NY 11701-2790 · (631) 264-0058 · Fax (631) 264-0056

Phone(631) 264-0058

Fax(631) 264-0056

Sole ProprietorYes

Medical School CMSOtherGraduated 2001

Enumeration DateJuly 27, 2006

Last NPPES UpdateFebruary 5, 2015

✔ NPI 1417961426 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 · 069889-1

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.

191 BROADWAY, Amityville, NY 11701

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Other Identifiers 2

Medicare ID-Type UnspecifiedN1R801

Medicare PINA300099759NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elissa Grunblatt Lcsw-r is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315172426

PECOS Enrollment IDI20131028000004

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

311 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11701 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 $67.40 – $203.53

Typical copayment $0.00 (range $16.85 – $50.88)

Most-billed visit code NA

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

Other Providers at the Same Location NPPES 14

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

EMAD FAHMY MA, MBA

Counselor (Mental Health)