Eric Jay Mandell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10314 Issued in FL

Practice address

700 Village Way
Palm Harbor, FL 34683-2935

Phone

(727) 331-3892

NPI assigned

May 24, 2011

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

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.

• Palm Harbor Family Counseling Center

  • Adolescent and Children Mental Health Clinic/Center
  • Palm Harbor, FL
  • NPI 1255734935
  NPD (past)
• Palm Harbor Family Counseling Center Inc.

  • Social Worker
  • Palm Harbor, FL
  • NPI 1538205885
  NPD (past)

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1790078756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 ALT 19",
            "address_2": "STE 1",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346832631",
            "telephone_number": "727-331-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 VILLAGE WAY",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346832935",
            "telephone_number": "727-331-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELL",
        "first_name": "ERIC",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma Malis, LCSW
• Katie Lynn Malley, D.C.
• Donnalee Maloney, ARNP
• Edgar Malpartida, MD
• Alexandra Mancuso, PT
• Robert Michael Manestar, DC
• Sandra Deborah Mann, M.D.
• Sirisha Mannepalli, P.T.
• Manning & Resovsky Inc
• Manning & Resovsky, Inc.

• Clinical Social Worker in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.