Provider Demographics
NPI:1689357931
Name:SGAMBELLURI, ERIN (LMSW)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:SGAMBELLURI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 WHITE BIRCH PATH
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-8915
Mailing Address - Country:US
Mailing Address - Phone:518-795-8879
Mailing Address - Fax:
Practice Address - Street 1:359 BALLSTON AVE
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-4723
Practice Address - Country:US
Practice Address - Phone:518-587-8008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY114429-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker