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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 Proprietor

MS. 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 # 1010
COMMACK, NY, 117253442
Browse 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.