Diane Manche, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0007102-SUPV Issued in OH

Practice address

3555 Olentangy River Rd Ste 2002
Columbus, OH 43214-3910

Phone

(614) 788-2462

NPI assigned

Apr 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
• devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
• KY PPO C-SNP
• devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
• KY PPO

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1013371830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 FRANTZ RD",
            "address_2": "STE 250",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164144",
            "telephone_number": "614-544-6210",
            "fax_number": "614-544-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 OLENTANGY RIVER RD STE 2002",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143910",
            "telephone_number": "614-788-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHE",
        "first_name": "DIANE",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0007102-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mana Medical, Inc.
• Manaar Care LLC
• Mursal Manati
• Tracey Lynn Manbeck
• Carol-Lynn Manche, MSW, LSW
• Dianne Mancheno Alvarez, DO
• Jeanette Manchester, PC
• Glenda Mancilla, LMSW
• Aman-Vir Mandair
• Abby Lynn Mandalla

• Clinical Social Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.