MR. JOHN PHILIP GREENBAUM (LCSW) – Clinical Social Worker, NPI 1366464117

MR. JOHN PHILIP GREENBAUM (LCSW) is a healthcare provider. based in Exeter, Pennsylvania. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. R0317681 (NY). The NPI Number for MR. JOHN PHILIP GREENBAUM (LCSW) is 1366464117

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN PHILIP GREENBAUM (LCSW)
NPI
1366464117
Phone
(646) 932-8396
Address
515 Cherry Dr
Enumeration Date
24 July 2006
Last Update Date
16 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5708256425581
Graduation Year
1984 (42 years ago)
PAC ID
8426124470
Group Practice PAC ID
1052567617
Professional Enrollment ID
I20250422001233
Address ID
PA187023808WI335XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,438 CLINICAL SOCIAL WORKER in PA

Provider Addresses for MR. JOHN PHILIP GREENBAUM (LCSW)

  • 515 Cherry Dr

    Exeter, PA 186431164

    Phone: (646) 932-8396

    Type: Location

  • 515 CHERRY DR FL 2

    EXETER, PA 186431164

    Phone: (646) 942-8396

    Type: Mailing

  • 335 S FRANKLIN ST

    WILKES BARRE, PA 187023808

    Phone: (570) 825-6425

    Fax: (570) 762-9011

    Type: Location

  • 55 Water Street, 55, Water Street, Financial District, Manhattan Community Board 1, Manhattan, New York County, New York, 10004, United States

    2ND FLOOR CRED DEPT

    NEW YORK, NY 100410004

    Phone: (646) 680-2888

    Fax: (516) 542-5556

    Type: Mailing

  • 1050, Clove Road, Sunnyside, Staten Island, New York, 10301, United States

    STATEN ISLAND, NY 103013627

    Phone: (718) 816-6440

    Fax: (718) 816-3611

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080828000003IClinical Social WorkerNYTBD
I20250422001233IClinical Social WorkerPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes7215$0
View full utilization report →

Insurance plans in this area (ZIP 18643)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052567617View full group profile
NameSpecialtyState
P S Y C H I A T R YPA
Mental Health CounselorPA
-PA
Mental Health CounselorPA
Nurse PractitionerPA
Clinical Social WorkerPA
Mental Health CounselorPA
-PA
Clinical Social WorkerPA
Nurse PractitionerPA

Reviews

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Frequently asked questions

Is there an official ID for MR. JOHN PHILIP GREENBAUM (LCSW) in U.S. healthcare records?
The official identifier for MR. JOHN PHILIP GREENBAUM (LCSW) is NPI 1366464117.
Is there an active status for MR. JOHN PHILIP GREENBAUM (LCSW)?
For scheduling context, MR. JOHN PHILIP GREENBAUM (LCSW) is shown as active in the registry.
How would a patient describe MR. JOHN PHILIP GREENBAUM (LCSW)'s focus?
For MR. JOHN PHILIP GREENBAUM (LCSW), the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. JOHN PHILIP GREENBAUM (LCSW)?
Travel planning: use Exeter, Pennsylvania as the reference point for MR. JOHN PHILIP GREENBAUM (LCSW), then confirm.
When was this NPI issued?
Enumeration for MR. JOHN PHILIP GREENBAUM (LCSW) is noted as July 24, 2006 where the registry provides it.

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