UNITED STATES
                     SECURITIES AND EXCHANGE COMMISSION
                          Washington, D.C.  20549

                                SCHEDULE 13D

                  Under the Securities Exchange Act of 1934
                              (Amendment No. __)*

                            NETSMART TECHNOLOGIES, INC.
                                 (Name of Issuer)

                   Common Stock, par value $.01 per share
                         (Title of Class of Securities)


                                  64114W 30 6
                                 (CUSIP Number)

                             Asher S. Levitsky P.C.
                       Esanu Katsky Korins & Siger, LLP
                                 605 Third Avenue
                              New York, New York 10158
                                  (212) 953-6000

           (Name, Address and Telephone Number of Person Authorized
                      to Receive Notices and Communications)

                                 April 8, 1999
             (Date of Event which Requires Filing of this Statement)

         If the filing person has  previously  filed a statement on Schedule 13G
         to report the  acquisition  which is the subject of this  Schedule 13D,
         and is filing this schedule  because of Rule  13d-1(b)(3) or (4), check
         the following box. |_|

         Note:  Six copies of this statement, including all exhibits, should be
         filed with the Commission.  See Rule 13d-1(a) for other parties to whom
         copies are to be sent.

         *The  remainder  of this cover page shall be filled out for a reporting
         person's  initial filing on this form with respect to the subject class
         of securities,  and for any subsequent amendment containing information
         which would alter disclosures provided in a prior cover page.

         The information  required on the remainder of this cover page shall not
         be deemed to be "filed" for the purpose of Section 18 of the Securities
         Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of
         that section of the Act but shall be subject to all other provisions of
         the Act (however, see the Notes).








CUSIP No. 64114W 30 6       SCHEDULE 13D                   Page 2 of 5 Pages


 1          NAME OF REPORTING PERSON
            S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON

            Anthony F. Grisanti

 2          CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
                                                                      (a)  [_]
                                                                      (b)  [_]

 3          SEC USE ONLY

 4          SOURCE OF FUNDS

            PF
 5          CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDING IS REQUIRED PURSUANT TO
            ITEMS 2(d) OR 2(e)

 6          CITIZENSHIP OR PLACE OF ORGANIZATION

            USA

                          7     SOLE VOTING POWER
   NUMBER OF
    SHARES                      73,061
  BENEFICIALLY
   OWNED BY               8     SHARED VOTING POWER
    EACH
  REPORTING               9     SOLE DISPOSITIVE POWER
   PERSON
    WITH                        73,061

                         10     SHARED DISPOSITIVE POWER

 11         AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

            73,061

 12         CHECK BOX IF THE AGGREGATE AMOUNT IN ROW  (11) EXCLUDES CERTAIN
            SHARES  [_]
 13         PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
            2.4%
 14         TYPE OF REPORTING PERSON

            IN





CUSIP No. 64114W 30 6           SCHEDULE 13D                 Page 3 of 5 Pages

Item 1.  Security and Issuer.

         This  statement  relates to the Common Stock,  par value $.01 per share
(the "Common Stock"),  of Netsmart  Technologies,  Inc. (the  "Company"),  whose
principal executive offices are located at 146 Nassau Avenue, Islip, NY 11751.

Item 2.  Identity and Background.

         (a)      This statement is being filed by Anthony F. Grisanti

         (b) Mr.  Grisanti's  principal place of business is: 146 Nassau Avenue,
Islip, New York 11751.

         (c) Mr. Grisanti is the chief financial officer of the Company.

         (d) During the last five years Mr.  Grisanti  has not been a party to a
civil proceeding of a judicial or administrative body of competent  jurisdiction
as a  result  of which he was  subject  to a  judgment,  decree  or final  order
enjoining future violations of, or prohibiting or mandating  activities  subject
to,  federal or state  securities  laws or finding any violation with respect to
such laws.

Item 3.  Source and Amount of Funds or Other Consideration.

         The shares were purchased with Mr. Grisanti's personal funds.

Item 4.  Purpose of Transaction.

         Mr. Grisanti acquired his Common Stock for investment purposes.  Mr.
Grisanti is the chief financial officer of the Company.

         Mr. Grisanti may purchase  additional  shares of Common Stock from time
to time.  Such  purchases may include the purchase of shares in the open market,
in private transactions and upon exercise of options which he presently holds or
which may be issued to him in the future.

         The  Company  has  advised  Mr.  Grisanti  that  it  intends  to file a
registration  statement  for SIS Capital and the  purchasers of the Common Stock
from SIS Capital.  Mr.  Grisanti  intends to include the 20,600 shares of Common
Stock  purchased  by  him  pursuant  to  the  SIS  Capital   Agreement  in  such
registration  statement.  Although he has no present  intention  of selling such
shares,  he may elect to sell such shares,  and any other shares he owns, in the
future.

Item 5.  Interest in Securities of the Issuer.

         (a) (i) Mr. Grisanti  beneficially  owns 73,061 shares of Common Stock,
representing  2.4% of the Common  Stock.  Such  shares are  comprised  of 39,061
shares of Common  Stock owned by Mr.  Grisanti,  35,000  shares of Common  Stock
issuable upon exercise of options held by Mr. Grisanti with an exercise price of
$1.50 per share.

                  (ii) In addition to the  presently  exercisable  options,  Mr.
Grisanti holds an option to purchase  50,000 shares of Common Stock at $1.00 per
share, which becomes exercisable as to 25,000 shares





CUSIP No. 64114W 30 6           SCHEDULE 13D                  Page 4 of 5 Pages

upon  stockholder  approval of an  amendment  to the  Company's  1998  Long-Term
Incentive Plan and the remaining  25,000 shares on November 3, 1999. Such option
is not deemed to be  presently  exercisable  since it is subject to  stockholder
approval of an amendment to the 1998 Long-Term Incentive Plan.

         (b) Mr.  Grisanti  has sole power to vote or direct the vote,  and sole
power to dispose,  or to direct the  disposition of, all of the 38,061 shares of
Common Stock owned by him. To the extent that Mr.  Grisanti  acquires any shares
of Common  Stock upon  exercise  of options  held by him,  he will have the sole
power to vote or direct the vote,  and sole power to  dispose,  or to direct the
disposition of, such shares.

         (c) Mr. Grisanti effected the following transactions in connection with
the Company's securities since February 7, 1999.

                  (i) On February 8, 1999, Mr. Grisanti  exercised stock options
to purchase 7,703 shares of Common Stock at $0.696 per share and 3,118 shares at
$1.035 per share.

                  (ii) On April 8, 1999, Mr. Grisanti purchased 16,000 shares of
Common  Stock at a  purchase  price of $2.015  per  share,  or an  aggregate  of
$23,238,  from SIS Capital Corp. ("SIS Capital") in a private  transaction.  The
shares were  purchased  pursuant to an agreement  (the "SIS Capital  Agreement")
dated as of March 25, 1999,  among SIS Capital,  Consolidated  Technology  Group
Ltd.  ("Consolidated  Technology"),  the Company, the purchasers,  including Mr.
Grisanti,  and Anthony F. Grisanti,  as  representative  of the purchasers.  SIS
Capital, a wholly-owned subsidiary of Consolidated Technology,  is the Company's
largest stockholder.

                  (iii) On April 15, 1999, Mr.  Grisanti  purchased 4,600 shares
of Common  Stock at a purchase  price of $2.015 per share,  or an  aggregate  of
$9,269, from SIS Capital pursuant to the SIS Capital Agreement."

                  (iv) Pursuant to the SIS Capital Agreement, in April 8 and 15,
1999, investors purchased,  severally,  an aggregate of 585,750, of which 20,600
shares were purchased by Mr.  Grisanti,  as disclosed in Paragraphs  (c)(ii) and
(iii)  of this  Item 5. In  connection  with  the  SIS  Capital  Agreement,  the
purchasers of the shares executed subscription  agreements,  which provided that
Mr.  Grisanti  had the right to accept or reject  any person as a  purchaser  of
shares from SIS Capital. Although his role was only ministerial,  because he had
the contractual  right to accept or reject any person as a purchaser,  he may be
deemed to have had beneficial ownership of the 565,150 shares purchased by other
purchasers.  However, Mr. Grisanti has no right to dispose of or vote any shares
of Common Stock purchased by any of such  purchasers.  As of April 15, 1999, the
date of the second  purchase from SIS Capital,  and thereafter,  Mr.  Grisanti's
beneficial  ownership is limited to the shares of Common Stock actually owned by
him or issuable to him upon  exercise of options  granted to him,  which is less
than 5% of the outstanding shares of the Company's Common Stock.

         (d) No other  person is known to have the right to receive or the power
to direct the receipt of dividends  from,  or the proceeds from the sale of such
securities.

         (e)      Not applicable.





CUSIP No. 64114W 30 6         SCHEDULE 13D                   Page 5 of 5 Pages

Item 6.  Contracts, Arrangements, Understandings or Relationships With Respect
to Securities of the Issuer.

         Mr. Grisanti was a party to subscription agreements relating to the
purchase of 565,350 shares of Common Stock from SIS Capital.  Mr. Grisanti has
no continuing rights or obligations under the subscription agreements.

Item 7.  Exhibits.

         1.  Agreement  dated as of March 25,  1999,  among SIS  Capital  Corp.,
Consolidated  Technology Group Ltd., the Company, the purchasers,  including Mr.
Grisanti, and Anthony F. Grisanti, as representative of the purchasers.1

         2.       Form of subscription agreements.

- ----------
(1)      Filed as an exhibit to the Company's Form 8-K report dated March 25,
1999 and filed with the Commission on March 30, 1999 and incorporated herein by
reference.

103245




CUSIP No. 64114W 30 6          SCHEDULE 13D                Page 6 of 5 Pages

                               SIGNATURE

         After reasonable  inquiry and to the best of my knowledge and belief, I
certify that the information  set forth in this statement is true,  complete and
correct.

Dated:   May 18, 1999

                                                     /s/ Anthony F. Grisanti
                                                     ------------------------
                                                     Anthony F. Grisanti

103245