John James Mancuso Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R035035 Issued in NY

Practice address

7 Hall Avenue
Suffern, NY 10901-6308

Phone

(845) 368-3984

NPI assigned

May 30, 2007

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851592471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HALL AVENUE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109016308",
            "telephone_number": "845-368-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HALL AVENUE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109016308",
            "telephone_number": "845-368-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "JOHN",
        "middle_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R035035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Marieeileen Mahancrescimanno, MS,OTR/L
• Susan Joan Maher, RN
• Ahuva Maimon, LCSW, CASAC
• Mark Makhinson, PHARMD
• John Mancuso
• Eliezer Mandelbaum, PSYD
• Sophia Manigar, RN
• Dennis Shu-Chih Mao, MD
• Map Mental Health Associates LLC
• Adrienne Marchese, BCABA

• Clinical Social Worker in Suffern, NY
• Providers in Suffern, 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 Jul 8, 2007; 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.

Verify at the official NPI Registry.