Nancyanne Amanatides, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR046963 Issued in NY

Practice address

169 Neptune Blvd
Long Beach, NY 11561-3729

Phone

(516) 432-0292

Fax

(516) 432-0292

NPI assigned

Mar 29, 2008

Last updated

Feb 25, 2017By 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

Other names 1

• Nancyanne J Derienzo Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Che Senior Psychological Services, PCGroup PAC ID 8022905314, 227 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Che Senior Psychological Services, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1023078219
  Medicare reassignment Care Compare group NPD
• Knapp Street Psychiatry, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1043248776
  Medicare reassignment NPD
• Hands Across Long Island, Incorporated

  • Community/Behavioral Health Agency
  • Jamaica, NY
  • NPI 1366743973
  NPD (past)

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

{
    "created_epoch": "1206748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487980800000",
    "number": "1821260993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 NEPTUNE BLVD",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613729",
            "telephone_number": "516-432-0292",
            "fax_number": "516-432-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 NEPTUNE BLVD",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613729",
            "telephone_number": "516-432-0292",
            "fax_number": "516-432-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMANATIDES",
        "first_name": "NANCYANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-29",
        "last_updated": "2017-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR046963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCYANNE",
            "last_name": "DERIENZO",
            "middle_name": "J",
            "credential": "LCSW/R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jhoselyn Alcivar
• Raquel Alger, LMSW
• Tara M Algerio-Vento, FNP-CS
• Carol Sober Alpern, CCC-SLP
• Melissa Anna Joan Alvino, LMHC
• Krystal X Amor, LPN
• Amy Baron, LCSW P.C.
• Andrea Janusz
• Anesthesia Associates of Long Beach, PLLC
• Angelcare Home Care

• Clinical Social Worker in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.