Active NPI
Julie Anne Mannas, LMSW
- Clinical Social Worker
- Long Island City, NY
National Provider Identifier
1053652503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 084797
- Practice address
- 2976 Northern Blvd
2ND FLR
Long Island City, NY 11101-2822 - Phone
- (212) 691-7554
- Fax
- (347) 510-3457
- NPI assigned
- Mar 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 084797 | NY | Primary |
Addresses
Primary practice location
2976 Northern Blvd
2ND FLR
Long Island City, NY 11101-2822
Mailing address
282 W End Ave
Apt # 4R
New York, NY 10023-8162
Phone (310) 612-8771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084797 | Other | NY | LMSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1309 -1311 Foster Ave
Brooklyn, NY 11230-1511
Phone (718) 282-0010
1309 Foster Ave
Brooklyn, NY 11230-1511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 084797 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Fortune Society Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Brooklyn, NY
- NPI 1184776452
-
- Addiction (Substance Use Disorder) Counselor
- Long Island City, NY
- NPI 1235357237
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362700800000",
"number": "1053652503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 W END AVE",
"address_2": "APT # 4R",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100238162",
"telephone_number": "310-612-8771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2976 NORTHERN BLVD",
"address_2": "2ND FLR",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111012822",
"telephone_number": "212-691-7554",
"fax_number": "347-510-3457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNAS",
"first_name": "JULIE",
"middle_name": "ANNE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-08",
"last_updated": "2013-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "084797",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMSW",
"identifier": "084797",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.