Individual provider Active NPI

Sandra Manzueta, LCSW

  • Clinical Social Worker
  • Yonkers, NY
National Provider Identifier
1538781968
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074273-01 Issued in NY
Practice address
73 Market St Ste 376
Yonkers, NY 10710-7619
Phone
(914) 426-0572
NPI assigned
May 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 074273-01 NY Primary

Addresses

Primary practice location

73 Market St Ste 376
Yonkers, NY 10710-7619

Mailing address

73 Market St Ste 376
Yonkers, NY 10710-7619
Phone (914) 327-2827

Other identifiers 1

IdentifierTypeStateIssuer
02431556MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, CT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200716002132 NY Practitioner - Clinical Social Worker 1850715343 Reassigns benefits to 1 organization
Practice locations: Yonkers, NY
I20240312001821 NJ Practitioner - Clinical Social Worker 1850715343 Reassigns benefits to 1 organization
I20240627000804 CT Practitioner - Clinical Social Worker 1850715343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

61 W Palisade Ave
2B
Englewood, NJ 07631-2706
Phone (914) 327-2829

73 Market St
Suite 376
Yonkers, NY 10710-7619
Phone (914) 327-2829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074273-01NYMDClinical Social Worker
13002CTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Help Esteem Counseling Services, LCSW, PLLC Clinical CurrentSince Jul 31, 2023 Accepting new patients

Locations

1266 E Main St
Ste 700R
Stamford, CT 06902
Phone (203) 340-0911

61 W Palisade Ave
#2B
Englewood, NJ 07631
Phone (551) 302-0310

73 Market St
Ste 376
Yonkers, NY 10710
Phone (347) 674-0797

Networks

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1538781968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 MARKET ST STE 376",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107107619",
            "telephone_number": "914-327-2827",
            "fax_number": "914-327-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 MARKET ST STE 376",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107107619",
            "telephone_number": "914-426-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZUETA",
        "first_name": "SANDRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074273-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02431556",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.