Individual provider · Type 1 NPI
Kibasa Samuel, LCSW, CASAC, SAP MAC
Clinical Social Worker · Commack, NY
Practice location
169 Commack Rd # 1010
Commack, NY 11725-3442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 31589 (NY) |
| Professional Counselor | 101YP2500X | 4937560 (NY) |
| Social Worker | 104100000X | 72091813 (NY) |
| Clinical Social Worker Primary | 1041C0700X | 090232 (NY) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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- Maya Novok, LCSW-RClinical Social Worker Commack, NY NPI 1073806980
- Theodore L. Hernitche Jr., LCSWClinical Social Worker Commack, NY NPI 1083724124
- Dominick Scalise, LCSWClinical Social Worker Commack, NY NPI 1083755078
- Mary Gnieser, LCSWClinical Social Worker Commack, NY NPI 1083854202
- Yelena Shik, R LCSWClinical Social Worker Commack, NY NPI 1093740508
About NPI 1407227879
Kibasa Samuel, LCSW, CASAC, SAP MAC's National Provider Identifier is 1407227879, issued on Oct 12, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Commack, NY. The record was last updated on Feb 23, 2022.