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

Individual provider Clinical Social Worker · NPI 1407454911

Retta Trybendis, LCSW is a Clinical Social Worker in Queensbury, New York. Qualified in 2020, 6 years ago. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
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

25 Willowbrook Rd
Queensbury, NY 12804-5882
Phone: (518) 926-7100
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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 101173 (NY)

Record details

NPI number1407454911
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 16, 2020
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026
Mailing address25 Willowbrook Rd, Queensbury, NY 12804-5882

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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