Laura Veronica Mandelbaum, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW9653 Issued in FL

Practice address

3850 W Flagler St
Coral Gables, FL 33134-1604

Phone

(305) 774-3334

Fax

(305) 475-2650

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Luis Hines & Associates, PA

  • Mental Health Counselor
  • Coral Gables, FL
  • NPI 1558357475
  NPD
• O Yes Medical Services Inc.

  • Specialist
  • North Miami, FL
  • NPI 1215912985
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1093740516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11031 NE 6TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331617182",
            "telephone_number": "305-398-6100",
            "fax_number": "305-757-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 W FLAGLER ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341604",
            "telephone_number": "305-774-3334",
            "fax_number": "305-475-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELBAUM",
        "first_name": "LAURA",
        "middle_name": "VERONICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS 22215",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001545400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph C. Mallet, PSY.D.
• Isabella Malo
• Mamalactea Corp
• Managed Care Insurance Consultants, Inc
• Managed Care Med Solutions, Inc
• Melissa Monica Manduley, CRDH
• Cory Manfredi
• Robert Mangasarian, M.D.
• Ania Manresa
• Marieta Manresa

• Clinical Social Worker in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.