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MS. KIBASA SAMUEL LCSW, CASAC, SAP MAC
NPI 1407227879
Social Worker - Clinical in Commack, NY

Active since October 12, 2015
169 COMMACK RD # 1010, COMMACK, NY 11725(516) 430-7372 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 23, 2022, Feb 11, 2022, Oct 21, 2020 and 2 more (5 updates tracked since 2015).

About Ms. Kibasa Samuel Lcsw, Casac, Sap Mac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KIBASA SAMUEL LCSW, CASAC, SAP MAC (NPI 1407227879) is an individual clinical provider in Commack, New York, licensed in New York (090232) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1407227879
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KIBASA SAMUELCredential: LCSW, CASAC, SAP MAC
Location Address169 COMMACK RD # 1010Commack, NY 11725-3442
Mailing Address169 Commack Rd # 1010Commack, NY 11725-3442 · (516) 430-7372
Phone(516) 430-7372
Sole ProprietorYes
Enumeration DateOctober 12, 2015
Last NPPES UpdateFebruary 23, 20225 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2022
✔ NPI 1407227879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 090232
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 31589 (NY)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 4937560 (NY)
Also ListedSocial WorkerTaxonomy 104100000X · License 72091813 (NY)
169 COMMACK RD # 1010, Commack, NY 11725
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Providence Health Plan.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kibasa Samuel's NPI number?

The NPI number for Kibasa Samuel is 1407227879. It was assigned to this individual provider in the NPPES registry on October 12, 2015.

Where is Kibasa Samuel located?

Kibasa Samuel practices at 169 Commack Rd # 1010, Commack, NY 11725. The listed phone number is (516) 430-7372.

What is Kibasa Samuel's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Kibasa Samuel accept?

Health plans from Blue Cross and Blue Shield of NC and Providence Health Plan list Kibasa Samuel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kibasa Samuel was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.