MEDICARE: SAMUEL STEINBOCK LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	098675	NY

General Provider Information

NPI Number	:	1568926533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMUEL STEINBOCK LCSW

Provider Business Mailing Address
First Line	:	540 COURT ST # 4051
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11231-3923
Country	:	US
Telephone Number	:	419-349-3536
Fax Number	:

Provider Business Practice Location Address
First Line	:	351 PROSPECT AVE APT 3R
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-5532
Country	:	US
Telephone Number	:	419-349-3536
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2019
Last Update Date	:	12/30/2024

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