Active NPI
Cheryl M. Manfredi, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1477581502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SL056273R
- Practice address
- 140 W 79TH St
New York, NY 10024-6421 - Phone
- (201) 224-9596
- Fax
- (201) 224-9596
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SL056273R | NY | Primary |
Addresses
Primary practice location
140 W 79TH St
New York, NY 10024-6421
Mailing address
1148 Palisade Ave
Fort Lee, NJ 07024-6426
Phone (201) 224-9596
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11566961 | Other | NY | CAQH CREDENTIALING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL056273R | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477581502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1148 PALISADE AVE",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070246426",
"telephone_number": "201-224-9596",
"fax_number": "201-224-9596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 W 79TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100246421",
"telephone_number": "201-224-9596",
"fax_number": "201-224-9596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANFREDI",
"first_name": "CHERYL",
"middle_name": "M.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "SL056273R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH CREDENTIALING",
"identifier": "11566961",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.