Kelly Jo Sambrook, LCSW is a
Social Worker - Clinical based in Craryville, New York. Kelly Jo Sambrook is licensed to practice in New York (license number 075321) and her current practice location is
73 County Route 11a, Craryville, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 325-2800.
NPI number for Kelly Jo Sambrook is 1306617931 and her current mailing address is 66 Park Ridge Dr, East Greenbush, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306617931.
Healthcare Provider's Profile
Full Name | Kelly Jo Sambrook |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 73 County Route 11a, Craryville, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306617931
- Provider Enumeration Date: 01/11/2024
- Last Update Date: 01/11/2024
Medical Identifiers
Medical identifiers for Kelly Jo Sambrook such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306617931 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 075321 (New York) | Primary |
1041S0200X | Social Worker - School | 075321 (New York) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Jo Sambrook is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Jo Sambrook, LCSW 66 Park Ridge Dr, East Greenbush, NY 12061-3636 Ph: (518) 441-7310 | Kelly Jo Sambrook, LCSW 73 County Route 11a, Craryville, NY 12521-5510 Ph: (518) 325-2800 |
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