DAVID G. LARIMER, District Judge.
Plaintiff, Yasmyne Brianna Evelyn Wallace ("plaintiff"), brings this action under 42 U.S.C. § 405(g) to review the final determination of the Commissioner of Social Security ("the Commissioner") that she is not disabled under the Social Security Act, and therefore, is not entitled to Social Security disability and supplemental security income benefits.
Plaintiff initially applied for Social Security disability benefits on February 23, 2011, listing a disability onset date of January 15, 2010. (T. 20).
The plaintiff has moved, (Dkt. # 8) and the Commissioner has cross-moved (Dkt. # 11) for judgment on the pleadings pursuant to Rule 12(c) of the Federal Rules of Civil Procedure. As discussed below, the Commissioner's decision is reversed, and the matter is remanded for further proceedings.
A person is considered disabled when he is unable "to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months...." 42 U.S.C. § 423(d)(1)(A). In order to determine whether a claimant is disabled, an ALJ employs a five-step inquiry:
Bowen v. City of New York, 476 U.S. 467, 470-71, 106 S.Ct. 2022, 90 L.Ed.2d 462 (1986) (citations omitted).
It is well-settled that plaintiff bears the burden of proof at the first four steps of the analysis. At the fifth and final stage of this process, the burden shifts to the Commissioner to prove that the claimant is capable of performing other work that exists in the national economy. See Schaal v. Apfel, 134 F.3d 496, 501 (2d Cir.1998); Perez v. Chater, 77 F.3d 41, 46 (2d Cir.1996).
Plaintiff was born October 11, 1989 and is presently twenty-five years old. She has a sixth-grade special education and no past relevant work. (T. 67).
At the first step, the ALJ found that plaintiff had not engaged in any substantial gainful activity since her application date of February 23, 2011, and in fact, that plaintiff's record of work activity was "virtually non-existent." At steps two and three, the ALJ concluded that plaintiff had severe impairments, consisting of asthma, "possible" borderline intellectual functioning, affective disorder, anxiety disorder, and polysubstance abuse, which did not meet or equal a listed impairment. (T. 22). The ALJ specifically applied the "special technique" for mental impairments, finding that plaintiff was mildly restricted in activities of daily living, moderately restricted in social functioning and in concentration, persistence and pace, and had experienced no episodes of decompensation.
At step four, the ALJ concluded that plaintiff retained the RFC to perform a full range of work at all exertional levels, with the following non-exertional limitations: avoiding concentrated exposure to environmental irritants, limited to performing simple, routine and repetitive tasks, in a work environment free of fast-paced production requirements, limited to simple work-related decisions, with few if any changes in the workplace, no personal interaction with the general public, and no more than occasional and non-intensive interpersonal interaction with coworkers and supervisors. (T. 24).
At step five, the ALJ considered testimony from vocational expert Peter Manzi, and concluded, based on plaintiff's age, education, and work experience, that plaintiff was not disabled, because she retained the RFC to perform work existing in significant numbers in the national economy, including the positions of laundry sorter, photocopy machine operator, and collator operator.
The Commissioner's decision that plaintiff is not disabled must be affirmed if it applies the correct legal standards and is supported by substantial evidence. 42 U.S.C. § 405(g); Shaw v. Chater, 221 F.3d 126, 131 (2d Cir.2000);
Such a deferential standard, however, is not applied to the Commissioner's conclusions of law. Townley v. Heckler, 748 F.2d 109, 112 (2d Cir.1984); accord Tejada v. Apfel, 167 F.3d 770, 773 (2d Cir.1999). The Court must determine if the Commissioner's decision applied the correct legal standards in finding that plaintiff was not disabled. "Failure to apply the correct legal standards is grounds for reversal." Townley, 748 F.2d at 112. Only after finding that the correct legal standards were applied should the Court consider the substantiality of the evidence. Johnson v. Bowen, 817 F.2d 983, 985 (2d Cir.1987). "`Where there is a reasonable basis for doubt whether the ALJ applied correct legal principles, application of the substantial evidence standard to uphold a finding of no disability creates an unacceptable risk that a claimant will be deprived of the right to have her disability determination made according to the correct legal principles.'" Schaal, 134 F.3d at 504 (quoting Johnson, 817 F.2d at 986).
Plaintiff argues that the ALJ erred in failing to properly evaluate her intellectual functioning, and improperly rejected, or failed to incorporate into his RFC findings, the opinions of consulting psychologist Dr. Christine Ransom.
Dr. Ransom examined plaintiff on June 6, 2011. She diagnosed plaintiff with moderate to marked panic disorder with agoraphobia, moderate to marked bipolar disorder with psychotic features, "probable" borderline intellectual capacity, asthma, and alcohol and marijuana dependence, currently in remission. (T. 624). Dr. Ransom opined that based on these diagnoses, plaintiff would have "moderate difficulty following and understanding simple directions and instructions, performing simple tasks independently, maintaining a simple regular schedule and learning simple new tasks." Id. The ALJ chose to afford Dr. Ransom's opinion only "limited weight," in part because it was inconsistent with the other evidence of record concerning plaintiff's ability to perform simple tasks.
Because Dr. Ransom is a consulting physician (not entitled to controlling weight), and because her opinion is inconsistent with the other evidence of record concerning plaintiff's ability to perform simple tasks, I find that the ALJ's decision to grant it only limited weight was not improper. Contrary evidence in the record includes a Global Assessment of Functioning ("GAF") test score of 69 (indicating no more than mild symptoms with less than moderate difficulties in social, occupational or educational functioning), plaintiff's self-reported daily activities (including the performance of simple tasks like doing laundry and occasional grocery shopping), and treatment notes from plaintiff's therapist, which reflect her belief that plaintiff can handle (albeit can only handle)
Although the Court concludes that substantial evidence of record supports the ALJ's findings with respect to plaintiff's RFC at Step 4, remand is necessary nevertheless, in order for a full and fair Step 3 determination to be made, concerning whether the requirements of Listing 12.05 ("Intellectual Disability") are met or equaled. Consulting and examining psychologists noted that plaintiff's intellectual functioning appears to be in the "borderline" range (T. 388, 623), and the ALJ agreed that plaintiff, at the very least, had "possible borderline intellectual functioning." (T. 22). The precise extent of plaintiff's intellectual impairments, as expressed through I.Q. testing, could be determinative of her application for disability benefits at Step 3. For example, a borderline I.Q. "in the presence of other physical or mental disorders that impose additional and significant work-related [functional limitations] may support an equivalence determination," which could mandate a finding of disability under Listing 12.05(c). See generally Taylor v. Colvin, 2013 U.S. Dist. LEXIS 185447 at *35 (N.D.N.Y. 2013) (where plaintiff's I.Q. is in the borderline range and the ALJ failed to consider functional equivalence under Section 12.05, remand is appropriate).
While the record appears to establish plaintiff's "possible" or apparent borderline intellectual functioning, there is no evidence that plaintiff's I.Q. has ever been objectively assessed. The Court is mindful that in general, passing references in the record to a claimant's low intelligence do not trigger an ALJ's obligation to order intelligence testing, particularly where other evidence of record, such as the claimant's education, work history, and activities of daily living, does not suggest a severe cognitive impairment. See e.g., Crawford v. Astrue, 2014 WL 4829544 at *24-25, 2014 U.S. Dist. LEXIS 138219 at *66-*67 (W.D.N.Y.2014) (remand for I.Q. testing is manifestly unnecessary, despite scattered references in the record to "mild mental retardation," where plaintiff graduated from high school, maintained semi-skilled employment, read widely and managed her own finances). However, the record here, which reflects plaintiff's significant educational difficulties (completing only a sixth grade special education, failing and repeating second grade, and failing seventh) and inability to perform common tasks like learning to drive or manage personal finances, does not undermine plaintiff's claim of limited intellectual capacity, and could be interpreted as supporting it. Because the plaintiff's intellectual capacity cannot be reasonably ascertained from the evidence of record, the matter is remanded for the limited purpose of further developing the record with regard to plaintiff's cognitive limitations, including the obtainment of I.Q. testing, so that the applicability of Listing 12.05 can be properly considered. See 20 C.F.R. Part 404, Subpt. P, App. 1, § 12.05.
I have considered the remainder of plaintiff's arguments, and find them to be without merit.
The plaintiff's motion for judgment on the pleadings (Dkt. # 8) is granted, and
IT IS SO ORDERED.