James Stefan Mansella, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

083870 Issued in NY

Practice address

8 Alton CT
Merrick, NY 11566-1401

Phone

(516) 850-5165

NPI assigned

Aug 9, 2012

Sex

Male

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

• Dorian Stefan Mansella Other 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

State University of New York at Stony Brook, School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1871840751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ALTON CT",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661401",
            "telephone_number": "516-850-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 ALTON CT",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661401",
            "telephone_number": "516-850-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSELLA",
        "first_name": "JAMES",
        "middle_name": "STEFAN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORIAN",
            "last_name": "MANSELLA",
            "middle_name": "STEFAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pavlos Malonoukos, DMD
• Christine Mammaro, NP
• Rosamaria Mammoliti-Woodiwiss, SLP
• Andrea F Mandelberger
• Kathleen Mangiaracina
• Salvatore Marchica
• Dana Marchlowska
• Rod Marden, PH.D.
• Mallory Gabrielle Marder, OTR
• Barbara B Markowitz, LCSW

• Clinical Social Worker in Merrick, NY
• Providers in Merrick, 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 Aug 9, 2012; 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.