Sambal Psychotherapy LCSW PLLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

SAMBAL PSYCHOTHERAPY LCSW PLLC

Practice address

8003 246TH St
Bellerose, NY 11426-1821

Phone

(646) 270-6223

NPI assigned

Mar 29, 2022

Last updated

Mar 29, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Dolly Thomas, LCSWNPI 1154725026

Title

Licensed Clinical Social Worker

Phone

(646) 270-6223

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dolly Thomas, LCSW

  • Social Worker
  • Bellerose, NY
  • NPI 1154725026
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1316687395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8003 246TH ST",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8003 246TH ST",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261821",
            "telephone_number": "646-270-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMBAL PSYCHOTHERAPY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DOLLY",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "646-270-6223",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dedie Saint-Vil
• Maylayal Salameh
• Usman Saleem, MD, MSPT
• Marilyn Sam, CCC-SLP
• Rosamma Sam, MS ED
• Samina Haque DMD PLLC (Hillside Smile Dental Care)
• Diana Santos Santana
• Fred Louis Savino, PHD
• Cristina Scagluiso
• Carole LM Schuster, DC

• Social Worker in Bellerose, NY
• Providers in Bellerose, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.