Sandra Albukrek, LCSW
Individual provider Active NPI Clinical Social Worker · East Hampton, NY
NPI 1114137239 · NPPES record last updated Dec 4, 2013
Key facts
- NPI
- 1114137239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 074651-1 (NY)
- Practice address
- 34 Pantigo Rd
East Hampton, NY 11937-2607 - Phone
- (917) 750-1252
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10 Talkhouse Walk
East Hampton, NY 11937-1894
518 Montauk Hwy
Amagansett, NY 11930-2110
Phone (917) 750-1252
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140515000051 | NY | Practitioner - Clinical Social Worker | 6507089786 | Practice locations: Amagansett, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 074651-1 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 074651-1 | NY | Yes |
Addresses
Primary practice location
34 Pantigo Rd
East Hampton, NY 11937-2607
Mailing address
10 Talkhouse Walk
East Hampton, NY 11937-1894
Other providers in East Hampton, NY
- Emily Abramson
- Carolina Agudelo Gonzalez
- Mansour Akbaryar
- Robin Akdeniz
- Alanna a. Quinn
- Vincent Alibrandi
- Kristin Lee Lamonda Alversa
- Brittany Lynn Andersen
- Melissa Angiel
- Ann Silver Nutrition, LLC
All providers in East Hampton, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.