Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jonathan Grossman, LCSW

Individual provider Clinical Social Worker · NPI 1578528667

Jonathan Grossman, LCSW is a Clinical Social Worker in Bay Shore, New York. Qualified in 1991, 35 years ago. Practices with Stony Brook Psychiatric Associates University Faculty Practice Corpor, a 101-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
35
Licensed in
NY
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1855 Union Blvd
Bay Shore, NY 11706-7949
Phone: (631) 580-9364
Fax: (631) 580-9365
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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 R043922-1 (NY)

Record details

NPI number1578528667
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 20, 2006
Last updated in NPPESApril 3, 2012

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Stony Brook Psychiatric Associates University Faculty Practice Corpor — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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