Manuela Pereira Mage, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089087 Issued in NY

Practice address

601 79TH St Apt C8
Brooklyn, NY 11209-3754

Phone

(301) 204-2629

NPI assigned

Nov 7, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1073942231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 79TH ST APT C8",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093754",
            "telephone_number": "301-204-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 79TH ST APT C8",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093754",
            "telephone_number": "301-204-2629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 48th St",
            "address_2": "3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112192918",
            "country_code": "US",
            "telephone_number": "718-283-7887",
            "fax_number": "718-635-7066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGE",
        "first_name": "MANUELA",
        "middle_name": "PEREIRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "089087",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW LICENSE",
            "identifier": "1231360",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karnig Dumitru Magardician, MD
• Julie Magaril, LCSW
• Carol Ann Magaro, LMSW
• Tatyana Magazanina, LCSW
• Mikhail Magazinnik, LCSW
• Dayna N Magedoff
• Atiya Scarlett Magee, MBBS
• Madison Magee, DO
• Nita Aurora Magee, MHNP-BC
• Eseroghene Magege, PA

• 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 Jul 8, 2021; 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.