MS. LESLIE BROMBERG LCSW-R
NPI 1770734493
Social Worker - Clinical in Bellport, NY

Active since October 01, 2008PECOS Enrolled
5 STATION CT STE 5, BELLPORT, NY 11713(631) 835-9594 Get Directions Write a Review

NPPES record last updated: November 17, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Leslie Bromberg Lcsw-r NPPES

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

MS. LESLIE BROMBERG LCSW-R (NPI 1770734493) is an individual clinical provider in Bellport, New York, licensed in New York (079294) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770734493
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. LESLIE BROMBERGCredential: LCSW-R
Location Address5 STATION CT STE 5Bellport, NY 11713-2453
Mailing AddressPo Box 1145Medford, NY 11763-0909 · (631) 835-9594
Sole ProprietorYes
Enumeration DateOctober 1, 2008
Last NPPES UpdateNovember 17, 2015
NPI 1770734493 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 · 079294
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.
5 STATION CT STE 5, Bellport, NY 11713

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Leslie Bromberg Lcsw-r 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11713 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.

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 Leslie Bromberg's NPI number?

The NPI number for Leslie Bromberg is 1770734493. It was assigned to this individual provider in the NPPES registry on October 1, 2008.

Where is Leslie Bromberg located?

Leslie Bromberg practices at 5 Station Ct Ste 5, Bellport, NY 11713. The listed phone number is (631) 835-9594.

What is Leslie Bromberg's specialty?

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

Is Leslie Bromberg enrolled in Medicare?

Yes. Leslie Bromberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leslie Bromberg was last updated on November 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.