Doctor Name: | JULIE ANNE MANNAS |
NPI Number: | 1053652503 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 084797 |
Business Practice Address: | 2976 Northern Blvd 2nd Flr Long Island City, NY - 111012822 |
Business Phone Number: | 2126917554 |
Business Fax Number: | 3475103457 |
Mailing Address: | 282 W End Ave, Apt # 4r NEW YORK |
State: | NY |
Postal Code: | 100238162 |
Phone Number: | 3106128771 |
Fax Number: | |
NPI Enumeration Date: | 03/08/2013 |
NPI Last Update Date: | 03/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 084797 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |