Active NPI
Stephanie Jeanette Mannion Ngelezi
- Social Worker
- Latham, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 097658-1
- Practice address
- 3 Lear Jet LN Ste 104N
Latham, NY 12110-2314 - Phone
- (518) 560-4277
- NPI assigned
- Oct 26, 2016
- Last updated
- Jul 22, 2024
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 097658-1 | NY | Primary |
Addresses
Primary practice location
3 Lear Jet LN Ste 104N
Latham, NY 12110-2314
Mailing address
504 Foxwood Dr
Clifton Park, NY 12065-6928
Phone (845) 616-6008
Other practice location 1
614 Cooper Hill Rd
Wynantskill, NY 12198-2906
Phone (518) 283-6500 ext. 747
Other names 1
- Stephanie Mannion
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097658-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parsons Child and Family Center | Current | Accepting new patients |
Locations
60 Academy Rd
Albany, NY 12208
Phone (518) 292-5499
401 New Karner Rd
Colonie, NY 12205
Phone (518) 456-3614
375 Bay Rd
Queensbury, NY 12804
Phone (518) 741-0043
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Custodial Care Facility
- Albany, NY
- NPI 1922171305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1063964054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 FOXWOOD DR",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120656928",
"telephone_number": "845-616-6008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 LEAR JET LN STE 104N",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102314",
"telephone_number": "518-560-4277"
}
],
"practiceLocations": [
{
"address_1": "614 Cooper Hill Rd",
"address_purpose": "LOCATION",
"city": "Wynantskill",
"state": "NY",
"postal_code": "121982906",
"country_code": "US",
"telephone_number": "518-283-6500 x747",
"fax_number": "518-286-2132",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGELEZI",
"first_name": "STEPHANIE",
"middle_name": "JEANETTE MANNION",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-26",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "097658-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "MANNION",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Latham, NY
- New Loudon Chiropractic PC
- New York Dialysis Services, Inc. (Fresenius Kidney Care - Latham)
- New York Epilepsy Medicine, PC
- New York Spine and Neurosurgery Associates PC
- Newtonville Pediatrics & Internal Medicine
- Barbara Nguyen, PA-C
- Samantha Nicchi
- Alexander Ely Nicholson, NPP
- Nancy Lennox Nicholson, PH.D.
- Jessica Nicole Nicklo, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.