Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1497218200 Deactivated / Inactive NPI Male Practitioner

Russell Anthony Manuello , LMSW

Social Worker • Flushing, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Russell Manuello has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 09, 2019
NPI Deactivation Date January 30, 2022
Total Practice Duration ~3 Years of Practice (2019 – 2022)

Professional Overview & Biography Verified Profile Summary

Russell Manuello, LMSW was a registered Social Worker practicing in Flushing, NY. Throughout an active medical career spanning 3 years, Russell Manuello provided care at the practice location at 14202 20TH AVE until profile deactivation on 2022-01-30.

Practice Location & Contact Primary Location

Practice Address

14202 20th Ave

Flushing, NY 113513000

Telephone 7185590555
Associated Practice Facility / Clinic
🏢 Pederson-Krag Center Inc Facility NPI 1013964170

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Flushing, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 20.1 Yrs
Regional Practice Density
169 Specialists

Practicing in Flushing, NY (23970 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License NY 00777331

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dominique Fleurimon

Student in an Organized Health Care Education/Training Program

NPI 1043714496
Roy Wilson

Student in an Organized Health Care Education/Training Program

NPI 1053869446
Jeremy James

Student in an Organized Health Care Education/Training Program

NPI 1063020519
Nicole Holder , REGISTERED NURSE

Registered Nurse - General Practice

NPI 1073004628

REGISTEREDNURSE

Olivia Delisa , MSW

Student in an Organized Health Care Education/Training Program

NPI 1114573243

Master of Social Work

Louqueta Cort

Nurse Practitioner - Psychiatric/Mental Health

NPI 1154817989

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated January 30, 2022

Record deactivated on January 30, 2022

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Updated Practice Location December 31, 2020

Registered at 3600 ROUTE 112, CORAM, NY 117274116 (Tel: 6319208630)

NPI Profile Active April 09, 2019

NPI status registered as active in NPPES database

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Updated Practice Location April 09, 2019

Registered at 14202 20TH AVE, FLUSHING, NY 113513000 (Tel: 7185590555)

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Updated Business Mailing Address April 09, 2019

Registered at 14202 20TH AVE, FLUSHING, NY 113513000 (Tel: 7185590555)

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Provider Name / Credentials Updated April 09, 2019

Recorded as RUSSELL MANUELLO, LMSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2019

Social Worker (License #00777331 in NY)

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Initial NPI Registration & Enumeration April 09, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497218200
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2019
Last Update: April 09, 2019
Deactivation Date: January 30, 2022

Mailing Address

14202 20th Ave

Flushing, NY 113513000

Phone: 7185590555

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.