Kibasa Samuel, LCSW, CASAC, SAP MAC
NPI 1407227879 · Clinical Social Worker · Commack, NY
Kibasa Samuel, LCSW, CASAC, SAP MAC is a Clinical Social Worker provider in Commack, NY (NPI 1407227879).
Provider details
- NPI number
- 1407227879
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW, CASAC, SAP MAC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 31589 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-10-12
- Last updated
- 2022-02-23
- Certified
- 2022-02-23
Frequently asked questions
- What is Kibasa Samuel's NPI number?
- Kibasa Samuel's National Provider Identifier (NPI) is 1407227879, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kibasa Samuel's specialty?
- Kibasa Samuel is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kibasa Samuel located?
- Kibasa Samuel's practice location on file with NPPES is 169 Commack Rd # 1010, Commack, NY 11725-3442.
- What is Kibasa Samuel's phone number?
- The practice phone number listed in the NPPES registry for Kibasa Samuel is (516) 430-7372.
- Is Kibasa Samuel's NPI active?
- Yes — Kibasa Samuel's NPI (1407227879) is active in the NPPES registry as of the last update on 2022-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.