Sabrina Ilutzi Mann, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I-05014 Issued in NM

Practice address

4233 Montgomery Blvd NE
Suite 240 West
Albuquerque, NM 87109-6749

Phone

(505) 766-5311

Fax

(505) 883-3076

NPI assigned

Jun 12, 2006

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 identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sabrina Mann, Lisw LLC

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1235546771
  NPD (past) Authorized official

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1306888292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 MADISON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106214",
            "telephone_number": "505-232-2929",
            "fax_number": "505-765-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 MONTGOMERY BLVD NE",
            "address_2": "SUITE 240 WEST",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096749",
            "telephone_number": "505-766-5311",
            "fax_number": "505-883-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "SABRINA",
        "middle_name": "ILUTZI",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "I-05014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM00JL92",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN",
            "identifier": "202004937",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88731511",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Constance Leah Mann
• Cristin Mann
• Megan Anne Mann, LSAA
• Miranda Mann, RN
• Phillip A Mann, LISW
• Karen A Mannal, CNP
• Keisha Marcelle Mannas, PA-C
• Kishore B Manne, M.D.
• Michelle L Manning, LPCC
• Mano de Ayuda Counseling

• Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.