Phyllis Ann Komroy, LCSW
NPI 1790730141ActiveIndividual· Counselor, Professional· Buffalo, NY
Counselor, Professional (LCSW) in Buffalo, New York, licensed in NY, with an NPI issued in May 2006. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1790730141 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | May 24, 2006 |
| Last updated in NPPES | Jul 22, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 070564-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NY) |
|---|
Education and affiliations
| Graduation year | 1992 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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