Individual provider Active NPI

Ariel Michelle Mann, LCSW

  • Clinical Social Worker
  • Belleville, IL
National Provider Identifier
1033849641
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.024559 Issued in IL
Practice address
101 S Belt W
Belleville, IL 62220-2503
Phone
(618) 973-0597
NPI assigned
Jun 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2021047685 MO
Clinical Social Worker 1041C0700X 149.024559 IL Primary

Addresses

Primary practice location

101 S Belt W
Belleville, IL 62220-2503

Mailing address

10 Briarcliffe Dr
Collinsville, IL 62234-2913
Phone (618) 973-0597

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address arielm@drh.today

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.024559ILMDClinical Social Worker
2021047685MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1033849641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BRIARCLIFFE DR",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622342913",
            "telephone_number": "618-973-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S BELT W",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622202503",
            "telephone_number": "618-973-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "ARIEL",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2021047685",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arielm@drh.today",
            "affiliation": "N",
            "address_1": "101 S Belt W",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622202503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.