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MIRNA ROSA SAMBULA-HERBERT LCSW
NPI 1588901458
Social Worker - Clinical in East Elmhurst, NY

Active since January 11, 2013PECOS Enrolled
2302 98TH ST, EAST ELMHURST, NY 11369(347) 310-1153 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mirna Rosa Sambula-herbert Lcsw NPPES

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

MIRNA ROSA SAMBULA-HERBERT LCSW (NPI 1588901458) is an individual clinical provider in East Elmhurst, New York, licensed in New York (098533) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588901458
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMIRNA ROSA SAMBULA-HERBERTCredential: LCSW
Location Address2302 98TH STEast Elmhurst, NY 11369-1224
Mailing Address2302 98th StEast Elmhurst, NY 11369-1224
Phone(347) 310-1153
Sole ProprietorYes
Enumeration DateJanuary 11, 2013
Last NPPES UpdateOctober 18, 2024
NPPES CertifiedOctober 18, 2024
✔ NPI 1588901458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 098533
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 ListedSocial WorkerTaxonomy 104100000X · License 088518 (NY)
2302 98TH ST, East Elmhurst, NY 11369
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mirna Rosa Sambula-herbert Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mirna Sambula-herbert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Supportive Care Psychology Of Ny PC
48 mi
Clinical
27 RANDOLPH RD
Howell, NJ 07731
  • Reassigned Medicare billing, New York enrollment
  • 156 clinicians in this Medicare group
NPI 1104315068 (718) 298-4375

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11369 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.00 – $201.98
Typical copayment $0.00 (range $16.75 – $50.49)
Most-billed visit code NA
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mirna Sambula-herbert's NPI number?

The NPI number for Mirna Sambula-herbert is 1588901458. It was assigned to this individual provider in the NPPES registry on January 11, 2013.

Where is Mirna Sambula-herbert located?

Mirna Sambula-herbert practices at 2302 98th St, East Elmhurst, NY 11369. The listed phone number is (347) 310-1153.

What is Mirna Sambula-herbert's specialty?

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

Is Mirna Sambula-herbert enrolled in Medicare?

Yes. Mirna Sambula-herbert is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mirna Sambula-herbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mirna Sambula-herbert reassigns Medicare benefits to Supportive Care Psychology Of Ny PC (Howell, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mirna Sambula-herbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mirna Sambula-herbert was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.