Alicia Mance, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

086091 Issued in NY

Practice address

527 Bay Rd Ste 101
Queensbury, NY 12804-1430

Phone

(518) 760-3634

NPI assigned

Jan 15, 2018

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1972011781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 BAY RD STE 101",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041430",
            "telephone_number": "518-760-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 BAY RD STE 101",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041430",
            "telephone_number": "518-760-3634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Saratoga Village Blvd Ste 27",
            "address_purpose": "LOCATION",
            "city": "Malta",
            "state": "NY",
            "postal_code": "120203703",
            "country_code": "US",
            "telephone_number": "518-292-5433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCE",
        "first_name": "ALICIA",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Macura, M.S
• Melanie Mahler
• Alaa Mahmoud, MD
• Ann Mahoney, OTR
• Tanya Mallette
• Stacey Lee Mandelbaum, MD
• Cristen Manning Locci, RPH
• Tara Manny, PA
• Mark Marcus, DDS
• Karen L Marden, LCSW-R

• Clinical Social Worker in Queensbury, NY
• Providers in Queensbury, 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 Apr 6, 2021; 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.