Individual provider Active NPI

Leonard W Mantei, LCSW

  • Clinical Social Worker
  • Binghamton, NY
National Provider Identifier
1629010582
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R035047 Issued in NY
Practice address
1 Hawley St
Binghamton, NY 13901-3102
Phone
(607) 778-1158
Fax
(607) 778-1159
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 R035047 NY Primary

Addresses

Primary practice location

1 Hawley St
Binghamton, NY 13901-3102

Mailing address

12 Woodlawn Ave
Owego, NY 13827-1721

Other identifiers 1

IdentifierTypeStateIssuer
07300035047MedicaidNY

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

LicenseStateTypeSpecialty
R035047NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Broome County Mental Health Department PastSince Jan 1, 2001 Accepting new patients
Broome County Past Accepting new patients

Organizations & group practices 2

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629010582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WOODLAWN AVE",
            "city": "OWEGO",
            "state": "NY",
            "postal_code": "138271721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAWLEY ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139013102",
            "telephone_number": "607-778-1158",
            "fax_number": "607-778-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTEI",
        "first_name": "LEONARD",
        "middle_name": "W",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R035047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07300035047",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.