Active NPI
Marianne E Webers, MSW
- Clinical Social Worker
- Manitowoc, WI
National Provider Identifier
1053331090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 710-123
- Practice address
- 339 Reed Ave
Manitowoc, WI 54220-2020 - Phone
- (920) 320-8600
- Fax
- (920) 380-8662
- NPI assigned
- Jul 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 710-123 | WI | Primary |
Addresses
Primary practice location
339 Reed Ave
Manitowoc, WI 54220-2020
Mailing address
PO Box 2290
Manitowoc, WI 54221-2290
Phone (920) 320-2591
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S31079 | Other | CIGNA | |
| 29575 | Other | NETWORK HEALTH PLAN | |
| 39613100 | Medicaid | WI |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1053331090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2290",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542212290",
"telephone_number": "920-320-2591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 REED AVE",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542202020",
"telephone_number": "920-320-8600",
"fax_number": "920-380-8662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBERS",
"first_name": "MARIANNE",
"middle_name": "E",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "710-123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "S31079",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH PLAN",
"identifier": "29575",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39613100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.