Individual provider Active NPI

Christopher Maniscalco, LCSW

  • Clinical Social Worker
  • West Palm Beach, FL
National Provider Identifier
1821597162
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW19654 Issued in FL
Practice address
471 Spencer Dr
West Palm Beach, FL 33409-3675
Phone
(561) 873-2122
Fax
(561) 805-3690
NPI assigned
Feb 1, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW19654 FL Primary
Clinical Social Worker 1041C0700X 10282 TN

Addresses

Primary practice location

471 Spencer Dr
West Palm Beach, FL 33409-3675

Mailing address

4414 Fuschia Cir N
Palm Beach Gardens, FL 33410-5425
Phone (561) 865-6889

Other practice location 1

15600 SW 288th St Ste 108
Homestead, FL 33033-1200
Phone (786) 507-8409

Other practice location 2

7000 SW 62nd Ave Ste Ph-S
South Miami, FL 33143-4716
Phone (786) 507-8409

Other practice location 3

4414 Fuschia Cir N
Palm Beach Gardens, FL 33410-5425
Phone (561) 865-6889

Other practice location 4

7350 Sand Lake Commons Blvd
MedPlex #B Suite #2205
Orlando, FL 32819
Phone (407) 707-6200

Other identifiers 1

IdentifierTypeStateIssuer
119281300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20260520000636 FL Order and Referring Only - Clinical Social Worker 2163896598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW19654FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trauma Specialists of South Florida PA Clinical CurrentSince May 25, 2025 Accepting new patients
Behavioral Health Integrative Care of FL, LLC CurrentSince Feb 18, 2024 Accepting new patients
NR Florida Associates LLC PastSince Feb 18, 2024 Accepting new patients

Locations

471 Spencer Dr
West Palm Beach, FL 33409
Phone (561) 616-1222

Organizations & group practices 3

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": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1821597162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 FUSCHIA CIR N",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105425",
            "telephone_number": "561-865-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 SPENCER DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093675",
            "telephone_number": "561-873-2122",
            "fax_number": "561-805-3690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15600 SW 288th St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330331200",
            "country_code": "US",
            "telephone_number": "786-507-8409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7000 SW 62nd Ave Ste Ph-S",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331434716",
            "country_code": "US",
            "telephone_number": "786-507-8409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4414 Fuschia Cir N",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334105425",
            "country_code": "US",
            "telephone_number": "561-865-6889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7350 Sand Lake Commons Blvd",
            "address_2": "MedPlex #B Suite #2205",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32819",
            "country_code": "US",
            "telephone_number": "407-707-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANISCALCO",
        "first_name": "CHRISTOPHER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-01",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19654",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "10282",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119281300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.