Sally Mansour, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

121558 Issued in CA

Practice address

14530 Sylvan St
Van Nuys, CA 91411-2324

Phone

(818) 582-8832

Fax

(818) 582-8836

NPI assigned

Sep 12, 2022

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Teen Project, Inc.

  • Children's Substance Abuse Rehabilitation Facility
  • Trabuco Canyon, CA
  • NPI 1609345743
  NPD (past)
• The Teen Project, Inc.

  • Substance Abuse Rehabilitation Facility
  • Van Nuys, CA
  • NPI 1881080216
  NPD (past)

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1922720440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14530 SYLVAN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14530 SYLVAN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112324",
            "telephone_number": "818-582-8832",
            "fax_number": "818-582-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "SALLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "121558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gladys Maniago, NP
• Melissa Ann Manning, MSW, LCSW
• Luceen Manokian
• Dikran Manouillian, D.D.S
• Vinicio Mansilla, M.A., BCBA
• Edna Manukyan, PHARMD
• Hripsime Manukyan, AGACNP-BC
• Zaven Manukyan
• Mayra A Manzano, MSW
• Czarina Joy Marasigan

• Clinical Social Worker in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.