Lynda Joan Bambola, LCSW

Primary specialty

School CounselorTaxonomy code 101YS0200X

License

054859 Issued in NY

Practice address

215 Old Riverhead Rd
Westhampton Beach, NY 11978-1206

Phone

(631) 288-6400

NPI assigned

Jul 18, 2011

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Jul 18, 2011.

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1821386327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 OLD RIVERHEAD RD",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119781206",
            "telephone_number": "631-288-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 OLD RIVERHEAD RD",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119781206",
            "telephone_number": "631-288-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMBOLA",
        "first_name": "LYNDA",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NY",
            "license": "054859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Alberts, RN
• Jacqueline Aldrich
• Keith R Allen, R.N.
• Alex M Aponte, MD
• Joan B. Archard, CCC, LSP
• Angela Baranta
• Tara Christine Barcia, D.O.
• Bari Miller OD PLLC
• Sandra Barrios-Reyes
• Jennifer Barszczewski, M.A.

• All providers in Westhampton Beach, NY
• School Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.