Active NPI
Stephanie Jeanne Dambra, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1467515841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R043464
- Practice address
- 119 West 57TH Street
Suite 1100
New York, NY 10019 - Phone
- (212) 757-4488
- Fax
- (212) 757-3555
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R043464 | NY | Primary |
Addresses
Primary practice location
119 West 57TH Street
Suite 1100
New York, NY 10019
Mailing address
90 Windsor Avenue
Rockville Centre, NY 11570
Phone (516) 594-6683
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R043464 | NY | MD | Clinical Social Worker |
| 043464 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467515841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 WINDSOR AVENUE",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "11570",
"telephone_number": "516-594-6683",
"fax_number": "516-594-6687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 WEST 57TH STREET",
"address_2": "SUITE 1100",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10019",
"telephone_number": "212-757-4488",
"fax_number": "212-757-3555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMBRA",
"first_name": "STEPHANIE",
"middle_name": "JEANNE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R043464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.