Organization Active NPI

Union Square Therapy Group LLC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1891571378
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
UNION SQUARE THERAPY GROUP LLC
Practice address
113 University PL # 903
New York, NY 10003-4527
Phone
(302) 317-1295
NPI assigned
Aug 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Ailsa Manny, LCSWNPI 1407367832
Title
Owner/Therapist
Phone
(917) 815-1007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

113 University PL # 903
New York, NY 10003-4527

Mailing address

8 W 19TH St FL 6
New York, NY 10011-4234
Phone (917) 815-1007

National Provider Directory

National Provider Directory

Locations

113 University Pl
#903
New York, NY 10003
Phone (302) 317-1295

8 W 19th St
Fl 6
New York, NY 10011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1891571378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 W 19TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114234",
            "telephone_number": "917-815-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 UNIVERSITY PL # 903",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034527",
            "telephone_number": "302-317-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION SQUARE THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "MANNY",
        "authorized_official_first_name": "AILSA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "917-815-1007",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.