Individual provider Active NPI

Bradley S Manton, LCSW

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1013494822
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C011509 Issued in NC
Practice address
901 Willow Dr Ste 5
Chapel Hill, NC 27514-7078
Phone
(919) 259-4554
NPI assigned
Jul 24, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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 C011509 NC Primary

Addresses

Primary practice location

901 Willow Dr Ste 5
Chapel Hill, NC 27514-7078

Mailing address

231 Blakes Dr
Pittsboro, NC 27312-8146
Phone (919) 259-4554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • 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
I20180911000959 NC Practitioner - Clinical Social Worker 1456601590 Practice locations: Pittsboro, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

231 Blakes Dr
Pittsboro, NC 27312-8146
Phone (919) 259-4554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C011509NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1013494822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 BLAKES DR",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273128146",
            "telephone_number": "919-259-4554",
            "fax_number": "919-966-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WILLOW DR STE 5",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147078",
            "telephone_number": "919-259-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTON",
        "first_name": "BRADLEY",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.