Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elissa Grunblatt, LCSW-R

Individual provider Clinical Social Worker · NPI 1417961426

Elissa Grunblatt, LCSW-R is a Clinical Social Worker in Amityville, New York. Qualified in 2001, 25 years ago. Practices with South Bay Counseling LCSW PC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

191 Broadway
Amityville, NY 11701-2790
Phone: (631) 264-0058
Fax: (631) 264-0056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 069889-1 (NY)

Record details

NPI number1417961426
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedJuly 27, 2006
Last updated in NPPESFebruary 5, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice South Bay Counseling Lcsw Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Amityville