Individual provider Active NPI

Henry M Mannheimer, LCSW

  • Clinical Social Worker
  • Harahan, LA
National Provider Identifier
1003927484
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1256 Issued in LA
Practice address
1200 S Clearview Pkwy Ste 1176
Harahan, LA 70123-2381
Phone
(504) 736-0707
Fax
(504) 736-0178
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1256 LA Primary

Addresses

Primary practice location

1200 S Clearview Pkwy Ste 1176
Harahan, LA 70123-2381

Mailing address

PO Box 10638
New Orleans, LA 70181-0638
Phone (504) 736-0707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051014000519 LA Practitioner - Clinical Social Worker 0042236440 Practice locations: Harahan, LA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1256LAMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003927484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10638",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701810638",
            "telephone_number": "504-736-0707",
            "fax_number": "504-736-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S CLEARVIEW PKWY STE 1176",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701232381",
            "telephone_number": "504-736-0707",
            "fax_number": "504-736-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNHEIMER",
        "first_name": "HENRY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "1256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harahan, LA

Sources for this page

Verify at the official NPI Registry.