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SPENCER CLAY EDELSTEIN LMSW
NPI 1609585728
Social Worker in Long Island City, NY

Active since November 17, 2022PECOS Enrolled
2976 NORTHERN BLVD FL 2, LONG ISLAND CITY, NY 11101(212) 691-7554 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Spencer Clay Edelstein Lmsw NPPES

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

SPENCER CLAY EDELSTEIN LMSW (NPI 1609585728) is an individual social worker in Long Island City, New York, licensed in New York (116917) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1609585728
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameSPENCER CLAY EDELSTEINCredential: LMSW
Location Address2976 NORTHERN BLVD FL 2Long Island City, NY 11101-2829
Mailing Address2976 Northern Blvd Fl 2Long Island City, NY 11101-2829 · (212) 691-7554
Phone(212) 691-7554
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 17, 2022
NPPES CertifiedNovember 17, 2022
✔ NPI 1609585728 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 · 116917
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.
2976 NORTHERN BLVD FL 2, Long Island City, NY 11101
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spencer Clay Edelstein Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244715290
PECOS Enrollment IDI20260327003035
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 Spencer Edelstein reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,093 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, New York enrollment
  • 867 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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.

EDWIN HERNANDEZ CRPA
Counselor
2976 NORTHERN BLVD FL 2
LONG ISLAND CITY, NY 11101
Queens County (212) 691-7554
DAMIEN ASQUINO NP
Nurse Practitioner (Psychiatric/Mental Health)
2976 NORTHERN BLVD FL 2
LONG ISLAND CITY, NY 11101
Queens County (212) 691-7554
GILLIAN LEVY LCSW
Social Worker (Clinical)
2976 NORTHERN BLVD FL 2
LONG ISLAND CITY, NY 11101
Queens County (212) 691-7554
SASHA INDRA SEECHARAN LMHC
Social Worker
2976 NORTHERN BLVD FL 2
LONG ISLAND CITY, NY 11101
Queens County (212) 691-7554
MANFRER ESPINAL
Counselor (Addiction (Substance Use Disorder))
2976 NORTHERN BLVD FL 2
LONG ISLAND CITY, NY 11101
Queens County (212) 691-7554
MR. WILLIAM RAMOS SR. CASAC
Counselor (Addiction (Substance Use Disorder))
2976 NORTHERN BLVD FL 2
LONG ISLAND CITY, NY 11101
Queens County (347) 510-3643
MARK CAMPBELL CASAS
Counselor (Addiction (Substance Use Disorder))
2976 NORTHERN BLVD FL 2
LONG ISLAND CITY, NY 11101
Queens County (212) 691-7554
KERVIN L DEJESUS CASAC-T
Counselor (Addiction (Substance Use Disorder))
2976 NORTHERN BLVD FL 2
LONG ISLAND CITY, NY 11101
Queens County (212) 691-7554

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 Spencer Edelstein's NPI number?

The NPI number for Spencer Edelstein is 1609585728. It was assigned to this individual provider in the NPPES registry on November 17, 2022.

Where is Spencer Edelstein located?

Spencer Edelstein practices at 2976 Northern Blvd Fl 2, Long Island City, NY 11101. The listed phone number is (212) 691-7554.

What is Spencer Edelstein's specialty?

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

Is Spencer Edelstein enrolled in Medicare?

Yes. Spencer Edelstein is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Spencer Edelstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Spencer Edelstein reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Spencer Edelstein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Spencer Edelstein was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.