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

Kelly Jo Sambrook, LCSW

Individual provider Clinical Social Worker · NPI 1306617931

Kelly Jo Sambrook, LCSW is a Clinical Social Worker in Craryville, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

73 County Route 11A
Craryville, NY 12521-5510
Phone: (518) 325-2800
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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 075321 (NY)
School Social Worker Taxonomy 1041S0200X · Licence 075321 (NY)

Record details

NPI number1306617931
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 11, 2024
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024

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