James Mammone, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

082695 Issued in NY

Practice address

93 Main St
West Sayville, NY 11796-1832

Phone

(631) 474-1533

Fax

(631) 474-1533

NPI assigned

Nov 15, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1447545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447545600000",
    "number": "1215301213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SOUTHERN BLVD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883524",
            "telephone_number": "631-902-6617",
            "fax_number": "631-656-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 MAIN ST",
            "city": "WEST SAYVILLE",
            "state": "NY",
            "postal_code": "117961832",
            "telephone_number": "631-474-1533",
            "fax_number": "631-474-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMMONE",
        "first_name": "JAMES",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-15",
        "last_updated": "2015-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in West Sayville, NY
• Providers in West Sayville, 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 Nov 15, 2015; 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.

Verify at the official NPI Registry.