Michele Mancuso, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05550000 Issued in NJ

Practice address

788 Shrewsbury Ave Ste 2200
Tinton Falls, NJ 07724-3080

Phone

(732) 832-5411

NPI assigned

Mar 3, 2016

Last updated

Nov 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: michelemancuso@tdh.allscriptsdirect.net

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.

• Trucare Counseling Services LLC

  • Clinical Social Worker
  • Tinton Falls, NJ
  • NPI 1245685080
  Authorized official Same address or phone
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1750741617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 GRAND AVE APT 37",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077161449",
            "telephone_number": "732-832-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 SHREWSBURY AVE STE 2200",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243080",
            "telephone_number": "732-832-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "MICHELE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05550000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Maghan, LCSW
• Janet L Mahan, MD
• Rachael Anne Maher, APN
• Main Street Pharmacy, LLC (CVS Pharmacy #48304)
• John Malloy, M.O.T., B.S.,OTR/L
• David Thomas Manganaro, MD
• Shital V Mani, OD
• Luke Manjooran
• Jennifer Manner, LPC
• Adil Manzoor, D.O

• Clinical Social Worker in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.