Amie Sanborn, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

118355-01 Issued in NY

Practice address

400 Jericho Tpke Ste 104
Jericho, NY 11753-1320

Phone

(516) 247-6457

NPI assigned

Nov 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702771200000",
    "number": "1417667841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 LAFAYETTE AVE",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791731",
            "telephone_number": "917-776-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 JERICHO TPKE STE 104",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531320",
            "telephone_number": "516-247-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANBORN",
        "first_name": "AMIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2023-12-17",
        "certification_date": "2023-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "118355-01",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "118355-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kunal Saggar, DDS
• Vishal Saggar, M.D.
• Lizabeth Salerno, LMT
• Kathleen Sambour
• Joyce Samuel
• Laurie B Sanders, LCSW
• Sharon R Scafidi, MS, RD
• Mitchell L. Schare, PH.D.
• Adam Jason Schneider, MD
• Mark Jay Schnur, O.D.

• Clinical Social Worker in Jericho, NY
• Providers in Jericho, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.