MEDICARE: NINA MANCINI LCSW LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1780528067
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NINA MANCINI LCSW LLC

Provider Business Mailing Address
First Line	:	125 WARNER HILL RD UNIT 11
Second Line	:
City	:	STRATFORD
State	:	CT
Zip	:	06614-1431
Country	:	US
Telephone Number	:	203-494-1416
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 WARNER HILL RD UNIT 11
Second Line	:
City	:	STRATFORD
State	:	CT
Zip	:	06614-1431
Country	:	US
Telephone Number	:	203-494-1416
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOTHERAPIST
Name	:	MS. ANTONINA M MANCINI
Credential	:	LCSW
Telephone Number	:	203-494-1416

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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