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MS. LARISSA ELLEN GOLLOUB LCSW-R
NPI 1942352034
Social Worker - Clinical in Brooklyn, NY

Active since January 17, 2007Opted out of Medicare · through Dec 29, 2027
2581 ATLANTIC AVE, 2ND FLOOR, BROOKLYN, NY 11207(718) 890-8100(718) 495-8298 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Larissa Ellen Golloub Lcsw-r NPPES

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

MS. LARISSA ELLEN GOLLOUB LCSW-R (NPI 1942352034) is an individual clinical provider in Brooklyn, New York, licensed in New York (R050308-1) and active in the NPI registry since January 2007. She has opted out of Medicare through December 29, 2027.

NPPES Registry Identity

NPI1942352034
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. LARISSA ELLEN GOLLOUBCredential: LCSW-R
Location Address2581 ATLANTIC AVE, 2ND FLOORBrooklyn, NY 11207-2412
Mailing Address11115 75th Ave, Apt. 5mForest Hills, NY 11375-6327 · (718) 890-8100 · Fax (718) 495-8298
Phone(718) 890-8100
Fax(718) 495-8298
Sole ProprietorNo
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1942352034 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 · R050308-1
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.
2581 ATLANTIC AVE, Brooklyn, NY 11207
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Larissa Ellen Golloub Lcsw-r 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 December 29, 2021 through December 29, 2027.

Opt-Out Effective DateDecember 29, 2021
Opt-Out In Effect ThroughDecember 29, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

MS. NATALIE R FOOTE LMSW
Social Worker (Clinical)
2581 ATLANTIC AVE
BROOKLYN, NY 11207
Kings County (718) 495-6700
TANISHA ELZEATHA EVANS
Counselor (Addiction (Substance Use Disorder))
2581 ATLANTIC AVE
BROOKLYN, NY 11207
Kings County (718) 495-6700
DIANA SALAZAR
Social Worker
2581 ATLANTIC AVE
BROOKLYN, NY 11207
Kings County (718) 495-6700
STACEY DELORES THOMPSON
Social Worker
2581 ATLANTIC AVE
BROOKLYN, NY 11207
Kings County (718) 495-6700
ABIGAIL BABB
Social Worker
2581 ATLANTIC AVE
BROOKLYN, NY 11207
Kings County (718) 495-6700
EMILY GLYDE FEELEY
Social Worker
2581 ATLANTIC AVE
BROOKLYN, NY 11207
Kings County (718) 495-6700
MAIRELY A GARCIA
Student in an Organized Health Care Education/Training Program
2581 ATLANTIC AVE
BROOKLYN, NY 11207
Kings County (347) 380-3230
LIONEL SUMMERS
Peer Specialist
2581 ATLANTIC AVE
BROOKLYN, NY 11207
Kings County (347) 742-9476

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 Larissa Golloub's NPI number?

The NPI number for Larissa Golloub is 1942352034. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Larissa Golloub located?

Larissa Golloub practices at 2581 Atlantic Ave 2nd Floor, Brooklyn, NY 11207. The listed phone number is (718) 890-8100.

What is Larissa Golloub's specialty?

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

Is Larissa Golloub enrolled in Medicare?

No. Larissa Golloub has opted out of Medicare through December 29, 2027. 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 Larissa Golloub was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.