Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KIBASA SAMUEL, LCSW, CASAC, SAP MAC
Active Sole ProprietorMS. KIBASA SAMUEL, LCSW, CASAC, SAP MAC is a Clinical Social Worker healthcare provider located in COMMACK, New York. NPI 1407227879 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · COMMACK, NY
Registration Details
- NPI Number
- 1407227879
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 12, 2015 (10.846905224729 yrs)
- Last Updated
- Feb 23, 2022
- Licenses
-
31589 (NY)4937560 (NY)72091813 (NY)090232 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
169 COMMACK RD # 1010COMMACK, NY, 117253442Browse NY providers · Browse ZIP 11725
- Phone
- 5164307372
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Social Worker
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in COMMACK, NY
| Name | Credential | NPI |
|---|---|---|
| MR. SAL C SANTINO | LCSW | 1619968831 |
| MRS. YELENA SHIK | R LCSW | 1093740508 |
| BRIAN M BALDWIN | LCSW | 1548288301 |
| MR. JOHN A CARERI | MSW | 1689693996 |
| MR. STEVEN GORDON | LCSWR | 1225045511 |
| MR. MICHAEL STUART BURNS | LCSW | 1114934478 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.