Provider Demographics
NPI:1932945599
Name:MANI, LINO ABRAHAM (LMSW)
Entity type:Individual
Prefix:
First Name:LINO
Middle Name:ABRAHAM
Last Name:MANI
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 FRANCES CT
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-1713
Mailing Address - Country:US
Mailing Address - Phone:516-808-2408
Mailing Address - Fax:
Practice Address - Street 1:52 FRANCES CT
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-1713
Practice Address - Country:US
Practice Address - Phone:516-808-2408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT97311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical