Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Daniel Mark Dzembo, MSWLCSWR

Individual provider Clinical Social Worker · NPI 1700049665

Daniel Mark Dzembo, MSWLCSWR is a Clinical Social Worker in Guilderland, New York. Qualified in 1989, 37 years ago. Practices with Ellis Hospital, a 252-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
37
Licensed in
NY
In the registry since
2008
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Practice location Address checks out

2280 Western Ave
Guilderland, NY 12084-9206
Phone: (518) 456-5056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R042105 1 (NY)

Record details

NPI number1700049665
Entity typeIndividual (Type 1)
GenderMale
Credentials MSWLCSWR
Sole proprietorYes
NPI enumeratedJuly 9, 2008
Last updated in NPPESNovember 6, 2008
Mailing address2280 Western Ave, Guilderland, NY 12084-9206

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Ellis Hospital — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Guilderland