Mordechai Mandelbaum, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077523-1 Issued in NY

Practice address

172 Parkville Ave
Brooklyn, NY 11230-1181

Phone

(917) 709-5420

Fax

(718) 854-7160

NPI assigned

Sep 14, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• LCSW Evaluations and Clinical Social Work, P.C.

  • Clinical Social Worker
  • Staten Island, NY
  • NPI 1326331836
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1023326931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 PARKVILLE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301181",
            "telephone_number": "917-709-5420",
            "fax_number": "718-854-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 PARKVILLE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301181",
            "telephone_number": "917-709-5420",
            "fax_number": "718-854-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELBAUM",
        "first_name": "MORDECHAI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077523-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yehuda Mandel, LMSW
• Bena Mandelbaum, SLP
• Chana E Mandelbaum, MS SLP CCC
• Hersh Mandelbaum, SEIT
• Israel Mandelbaum
• Mordechai Mandelbaum
• Phyllis Louise Mandelbaum, MSED
• Richard I Mandelbaum, MD
• Sandra Mandelbaum, LCSW
• Sarah Mandelbaum

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.