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MR. DONALD LEON GRUMBINE LCSW
NPI 1659458495
Social Worker - Clinical in New Paltz, NY

Active since November 01, 2006Opted out of Medicare · through Jul 1, 2027
15 HIGH RIDGE RD, NEW PALTZ, NY 12561(845) 255-8830 Get Directions Write a Review

NPPES record last updated: May 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Donald Leon Grumbine Lcsw NPPES

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

MR. DONALD LEON GRUMBINE LCSW (NPI 1659458495) is an individual clinical provider in New Paltz, New York, licensed in New York (R020967-1) and active in the NPI registry since November 2006. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1659458495
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. DONALD LEON GRUMBINECredential: LCSW
Location Address15 HIGH RIDGE RDNew Paltz, NY 12561-2911
Mailing Address15 High Ridge RdNew Paltz, NY 12561-2911 · (845) 255-8830
Phone(845) 255-8830
Sole ProprietorYes
Enumeration DateNovember 1, 2006
Last NPPES UpdateMay 12, 2015
✔ NPI 1659458495 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 · R020967-1
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.
15 HIGH RIDGE RD, New Paltz, NY 12561
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Other Identifiers 1

Medicare ID-Type UnspecifiedN17211NY

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. Donald Leon Grumbine Lcsw 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 July 1, 2015 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2015
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12561 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 $61.88 – $187.05
Typical copayment $0.00 (range $15.47 – $46.76)
Most-billed visit code NA
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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

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

MRS. ANDREA BETH GRUMBINE M.S., LCAT
Art Therapist
15 HIGH RIDGE RD
NEW PALTZ, NY 12561
Ulster County (845) 255-8830

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 Donald Grumbine's NPI number?

The NPI number for Donald Grumbine is 1659458495. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Donald Grumbine located?

Donald Grumbine practices at 15 High Ridge Rd, New Paltz, NY 12561. The listed phone number is (845) 255-8830.

What is Donald Grumbine's specialty?

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

Is Donald Grumbine enrolled in Medicare?

No. Donald Grumbine has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Donald Grumbine was last updated on May 12, 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.