Leah Lisa Mandelbaum in Staten Island - Clinical

Leah Lisa Mandelbaum - NPI 1679650329

Leah Lisa Mandelbaum is a Clinical in Staten Island, New York. Leah Lisa Mandelbaum practices all healthcare services and medical treatments related to Clinical. The NPI Number for Leah Lisa Mandelbaum is 1679650329. The last update date is 2007-07-31.

Leah Lisa Mandelbaum's current location address is 2795 Richmond Ave, Staten Island, New York. You can contact this provider via phone number 7187619800 and fax number 7183701142. The mailing address for Leah Lisa Mandelbaum is 2795 Richmond Ave, Staten Island, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Leah Lisa Mandelbaum
Address 2795 Richmond Ave, Staten Island, New York
Phone Number 7187619800
Fax Number 7183701142
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1679650329
Provider Enumeration Date 2006-11-01
Last Updated Date 2007-07-31

Provider Mailing Address Detail

Address 2795 Richmond Ave
City Staten Island
State New York (NY)
Post Code 103145857
Phone Number 7187619800
Fax Number 7183701142

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 070497-1
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Leah Lisa Mandelbaum

What is the unique 10-digit identifier code assigned to Leah Lisa Mandelbaum by the Centers for Medicare & Medicaid Services?

The Leah Lisa Mandelbaum has been issued the NPI (National Provider Identifier) 1679650329 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Leah Lisa Mandelbaum is physically located?

The Leah Lisa Mandelbaum is physically situated at the following address: 2795 Richmond Ave, Staten Island, NY, 103145857.

What is Leah Lisa Mandelbaum's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Leah Lisa Mandelbaum's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

When did Leah Lisa Mandelbaum receive its 1679650329 assignment?

The Leah Lisa Mandelbaum was assigned its 1679650329 on 2006-11-01, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Leah Lisa Mandelbaum, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Leah Lisa Mandelbaum, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-31.

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