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DANIEL MARK DZEMBO MSW LCSW R
NPI 1700049665
Social Worker - Clinical in Guilderland, NY

Active since July 09, 2008PECOS EnrolledAccepts Medicare Assignment
2280 WESTERN AVE, GUILDERLAND, NY 12084(518) 456-5056 Get Directions Write a Review

NPPES record last updated: November 6, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Daniel Mark Dzembo Msw Lcsw R NPPES

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

DANIEL MARK DZEMBO MSW LCSW R (NPI 1700049665) is an individual clinical provider in Guilderland, New York, licensed in New York (R042105 1) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Ellis Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1700049665
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDANIEL MARK DZEMBOCredential: MSW LCSW R
Location Address2280 WESTERN AVEGuilderland, NY 12084-9206
Mailing Address2280 Western AveGuilderland, NY 12084-9206 · (518) 456-5056
Phone(518) 456-5056
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 9, 2008
Last NPPES UpdateNovember 6, 2008
✔ NPI 1700049665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · R042105 1
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.
2280 WESTERN AVE, Guilderland, NY 12084
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daniel Mark Dzembo Msw Lcsw R is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072674068
PECOS Enrollment IDI20081209000674
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
51 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ellis Hospital

Acute Care Hospitals · Schenectady, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330153
Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12084 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YOLANDA REESE LCSW
Social Worker (Clinical)
2280 WESTERN AVE
GUILDERLAND, NY 12084
Albany County (518) 456-5056
KRINA COZART LMHC
Counselor (Mental Health)
2280 WESTERN AVE
GUILDERLAND, NY 12084
Albany County (418) 456-5056
JOSEPH A GERMANO LCSW
Social Worker
2280 WESTERN AVE
GUILDERLAND, NY 12084
Albany County (518) 456-5056
ELAINE ERNST LMHC
Counselor (Mental Health)
2280 WESTERN AVE
GUILDERLAND, NY 12084
Albany County (518) 456-5056
MS. LACEY PUTNAM LMHC
Counselor (Mental Health)
2280 WESTERN AVE, KARNER PSYCHOLOGICAL ASSOCIATES
GUILDERLAND, NY 12084
Albany County (518) 456-5056
MRS. JOAN MARIE KILLEEN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2280 WESTERN AVE
GUILDERLAND, NY 12084
Albany County (518) 417-1847
MELISSA LEAH BLOK LMSW
Social Worker
2280 WESTERN AVE
GUILDERLAND, NY 12084
Albany County (518) 456-5056
EMILY GORDON LMSW
Social Worker
2280 WESTERN AVE
GUILDERLAND, NY 12084
Albany County (518) 456-5056

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 Daniel Dzembo's NPI number?

The NPI number for Daniel Dzembo is 1700049665. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Daniel Dzembo located?

Daniel Dzembo practices at 2280 Western Ave, Guilderland, NY 12084. The listed phone number is (518) 456-5056.

What is Daniel Dzembo's specialty?

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

Is Daniel Dzembo enrolled in Medicare?

Yes. Daniel Dzembo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Daniel Dzembo affiliated with any hospitals?

According to CMS data, Daniel Dzembo is affiliated with Ellis Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Dzembo was last updated on November 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.