Active NPI
Marie Elizabeth Manley, LMSW, CASAC
- Social Worker
- Jamaica, NY
National Provider Identifier
1003336074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 094736-1
- Practice address
- 16204 Tuskegee Airmen Way
Jamaica, NY 11433-1608 - Phone
- (718) 291-4844
- Fax
- (718) 291-4511
- NPI assigned
- Jun 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 18017 | NY | |
| Social Worker | 104100000X | 094736-1 | NY | Primary |
Addresses
Primary practice location
16204 Tuskegee Airmen Way
Jamaica, NY 11433-1608
Mailing address
16204 Tuskegee Airmen Way
Jamaica, NY 11433-1608
Phone (718) 291-4844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 094736-1 | NY | MD | Social Worker |
| 18017 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1003336074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16204 TUSKEGEE AIRMEN WAY",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114331608",
"telephone_number": "718-291-4844",
"fax_number": "718-291-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16204 TUSKEGEE AIRMEN WAY",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114331608",
"telephone_number": "718-291-4844",
"fax_number": "718-291-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANLEY",
"first_name": "MARIE",
"middle_name": "ELIZABETH",
"credential": "LMSW, CASAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "18017",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "094736-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.