Back to Search

KIBASA SAMUEL, LCSW, CASAC, SAP MAC

LCSW, CASAC, SAP MAC

Clinical Social Worker

NPI: 1407227879Individual

Specialties, Licenses & Credentials

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

31589(NY)

Counselor — Professional

Code: 101YP2500X

4937560(NY)

Social Worker

Code: 104100000X

72091813(NY)

Social Worker — Clinical

Code: 1041C0700X

090232(NY)

Contact & Hours

Address
169 COMMACK RD # 1010
COMMACK, NY 11725

Quick Facts

NPI
1407227879
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
4
Locations
1

Are you this provider?

Claim Your Profile