Individual provider Active NPI

Julie Anne Mannas, LMSW

  • Clinical Social Worker
  • Long Island City, NY
National Provider Identifier
1053652503
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
084797 Issued in NY
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

Updated by the provider on Mar 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
084797OtherNYLMSW

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260512000449 NY Practitioner - Clinical Social Worker 4486122165 Reassigns benefits to 1 organization

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
Brooklyn Center for Families in CrisisGroup PAC ID 1759270010, 9 clinicians

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

LicenseStateTypeSpecialty
084797NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Fortune Society Inc. Clinical PastSince Jan 4, 2012 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.

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

Verify at the official NPI Registry.