Gisela Mamposo, LCSW-R

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

11835 Queens Blvd
Suite 400
Forest Hills, NY 11375-7200

Phone

(347) 432-4134

NPI assigned

Sep 10, 2008

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 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

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.

• Latino Support LCSW, P.C

  • Community/Behavioral Health Agency
  • Woodside, NY
  • NPI 1083967970
  Medicare reassignment

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1447409776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 QUEENS BLVD",
            "address_2": "APT 15F",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113777757",
            "telephone_number": "718-429-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 QUEENS BLVD",
            "address_2": "SUITE 400",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757200",
            "telephone_number": "347-432-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMPOSO",
        "first_name": "GISELA",
        "name_prefix": "Miss",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G400123391",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Theresa Malouta, MA
• Mama Program LLC
• Michelle Mamann
• Vyacheslav Mamanov, NP
• Mitchell Mamorsky, D.M.D
• Shreya Mandal, JD LCSW
• Mollie Malka Mandel, NP
• Dominique Manfreda
• Steven Joseph Manierre, D.O.
• Beatriz Blanch Bobilles Manlupig, PT

• Social Worker in Forest Hills, NY
• Providers in Forest Hills, 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 Jan 3, 2017; 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.