Individual
MS. CARLA LYNN MANNINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
405 LEXINGTON AVE STE 2606, NEW YORK, NY 10174-0002
(212) 810-1724
Mailing address
405 LEXINGTON AVE STE 2606, NEW YORK, NY 10174-0002
(212) 810-1724
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
077578
NY
1041C0700X
Clinical Social Worker
000122993
MA
1041C0700X
Clinical Social Worker
10811
CT
1041C0700X
Clinical Social Worker
44SC05914700
NJ
1041C0700X
Clinical Social Worker
95072
CA
1041C0700X
Clinical Social Worker
Primary
R0794891
NY
1041C0700X
Clinical Social Worker
SW16758
FL
Other
Enumeration date
11/17/2008
Last updated
03/06/2026
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