Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mimon Yehuda Mamane, LCSW

Individual provider Social Worker · NPI 1558860981

Mimon Yehuda Mamane, LCSW is a Clinical Social Worker in New York, New York. Qualified in 2017, 9 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
9
Licensed in
NY, PA
In the registry since
2018
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1160 5th Ave
New York, NY 10029-6928
Phone: (212) 241-1099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 455 Fdr Dr Apt B301, New York, NY 10002-1968 — (347) 932-4297

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 091356 (NY)
Social Worker Taxonomy 104100000X · Licence 102400-1 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence CW021949 (PA)

Record details

NPI number1558860981
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 12, 2018
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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