Provider Demographics
NPI:1285476044
Name:SAMPOL, SOFIA (MA, LMSW)
Entity type:Individual
Prefix:
First Name:SOFIA
Middle Name:
Last Name:SAMPOL
Suffix:
Gender:F
Credentials:MA, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5021 39TH PL APT 1G
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11104-4119
Mailing Address - Country:US
Mailing Address - Phone:646-645-8285
Mailing Address - Fax:
Practice Address - Street 1:4 E 88TH ST STE 1A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-0546
Practice Address - Country:US
Practice Address - Phone:122-362-2820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-11
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker