Tina M Mansky in Smithtown - Clinical

Tina M Mansky - NPI 1508086505

Tina M Mansky is a Clinical in Smithtown, New York. Tina M Mansky practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tina M Mansky is 1508086505. The last update date is 2007-07-08.

Tina M Mansky's current location address is 89 Laurel Drive, Smithtown, New York. You can contact this provider via phone number 6315434288 and fax number 6315434288. The mailing address for Tina M Mansky is 89 Laurel Drive, Smithtown, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Tina M Mansky
Address 89 Laurel Drive, Smithtown, New York
Phone Number 6315434288
Fax Number 6315434288
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1508086505
Provider Enumeration Date 2007-05-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 89 Laurel Drive
City Smithtown
State New York (NY)
Post Code 117874243
Phone Number 6315434288
Fax Number 6315434288

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No R0339861
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6276549 NY UNITED BEHAVIORAL HEALTH
7400592 NY GHI
4462481 NY AETNA BEHAVIORAL HEALTH
1000046079 NY BEACON HEALTH AFFINITY
P2813431 NY OXFORD HEALTH PLANS
145461 NY VALUE OPTIONS
N9231 NY EMPIRE BLUECROSS BLUESHIE

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FAQs about Tina M Mansky

What is the unique 10-digit identifier code assigned to Tina M Mansky by the Centers for Medicare & Medicaid Services?

The Tina M Mansky has been issued the NPI (National Provider Identifier) 1508086505 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Tina M Mansky's physical address?

The Tina M Mansky is physically located at 89 Laurel Drive, in the city of Smithtown, NY, with the postal code 117874243.

What is the area of specialization for Tina M Mansky, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Tina M Mansky is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.

On what date did the Tina M Mansky receive the assignment of its 1508086505 from the Centers for Medicare & Medicaid Services?

The Tina M Mansky was issued its 1508086505 by the Centers for Medicare & Medicaid Services on 2007-05-01.

As of what date were the details related to Tina M Mansky most recently updated or revised?

The information pertaining to Tina M Mansky, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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