Active NPI
Deborah Yamin Manocchia, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1922634856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 056567-1
- Practice address
- 11 W 67TH St
New York, NY 10023-6237 - Phone
- (917) 912-9681
- Fax
- (121) 799-8332
- NPI assigned
- Mar 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 056567-1 | NY | Primary |
Addresses
Primary practice location
11 W 67TH St
New York, NY 10023-6237
Mailing address
11 W 67TH St
New York, NY 10023-6237
Phone (917) 912-9681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14-1884806 | Other | NY | N/A |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056567-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1922634856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 W 67TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100236237",
"telephone_number": "917-912-9681",
"fax_number": "121-799-8332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 W 67TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100236237",
"telephone_number": "917-912-9681",
"fax_number": "121-799-8332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANOCCHIA",
"first_name": "DEBORAH",
"middle_name": "YAMIN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-23",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "056567-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "14-1884806",
"state": "NY"
}
],
"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 Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.