Keyla Mancebo, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

111980 Issued in NY

Practice address

400 Community Dr
Manhasset, NY 11030-3815

Phone

(516) 472-5800

NPI assigned

May 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Keyla Mancebo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1235712464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 COMMUNITY DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303815",
            "telephone_number": "516-472-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 COMMUNITY DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303815",
            "telephone_number": "516-472-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCEBO",
        "first_name": "KEYLA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "111980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEYLA",
            "last_name": "MANCEBO",
            "credential": "KEYLA MARTINEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christina Mallilo, N.P.
• Alan Mallouhi, MD
• Henry Anthony Malone, PH.D.
• Jincy Varghese Mammen, NP
• Rifat Mamun, MD
• Marlene Marie Mancuso, M.D.
• Ashley Mandelstam
• Megan Mandile
• Manhasset Allergy & Asthma Assoc,LLP
• Manhasset Cardiovascular, P.C.

• Social Worker in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.