Individual provider Active NPI

Donna Manzi, LCSW-R, PHD

  • Clinical Social Worker
  • Smithtown, NY
National Provider Identifier
1700364239
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSWR079194 Issued in NY
Practice address
35 Manor Rd
Smithtown, NY 11787-2751
Phone
(631) 265-0007
NPI assigned
Aug 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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 LCSWR079194 NY Primary

Addresses

Primary practice location

35 Manor Rd
Smithtown, NY 11787-2751

Mailing address

35 Manor Rd
Smithtown, NY 11787-2751
Phone (631) 265-0007

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LCSWR079194NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catharsis Counseling LCSW PLLC CurrentSince Jan 22, 2023 Accepting new patients

Locations

649 Route 25A
Rocky Point, NY 11778
Phone (631) 681-7633

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": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1700364239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MANOR RD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872751",
            "telephone_number": "631-265-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MANOR RD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872751",
            "telephone_number": "631-265-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZI",
        "first_name": "DONNA",
        "name_prefix": "Dr.",
        "credential": "LCSW-R, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "LCSWR079194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.