Individual provider Active NPI

Sheri Ginsburg Mantzoor, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1548412695
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9075 Issued in FL
Practice address
1900 Glades Rd
Suite 280
Boca Raton, FL 33431-7378
Phone
(561) 393-0414
NPI assigned
Oct 21, 2008
Last updated
Dec 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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 SW9075 FL Primary

Addresses

Primary practice location

1900 Glades Rd
Suite 280
Boca Raton, FL 33431-7378

Mailing address

1900 Glades Rd
Suite 280
Boca Raton, FL 33431-7378
Phone (561) 393-0414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1548412695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 GLADES RD",
            "address_2": "SUITE 280",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317378",
            "telephone_number": "561-393-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GLADES RD",
            "address_2": "SUITE 280",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317378",
            "telephone_number": "561-393-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINSBURG MANTZOOR",
        "first_name": "SHERI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.