Active NPI
Christopher Maniscalco, LCSW
- Clinical Social Worker
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW19654
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119281300 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260520000636 | FL | Order and Referring Only - Clinical Social Worker | 2163896598 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW19654 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trauma Specialists of South Florida PA | Clinical | Current | Accepting new patients |
| Behavioral Health Integrative Care of FL, LLC | Current | Accepting new patients | |
| NR Florida Associates LLC | Past | 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.
-
- Clinical Social Worker
- Palm Beach Gardens, FL
- NPI 1750173670
-
- Multi-Specialty Clinic/Center
- West Palm Beach, FL
- NPI 1073223442
-
- Substance Abuse Rehabilitation Facility
- Lake Worth, FL
- NPI 1568887545
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.