Active NPI
Mannya Rajesh Sharma, LCSW
- Clinical Social Worker
- Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 121039
- Practice address
- 1085 W Badillo St
Covina, CA 91722-4112 - Phone
- (626) 332-8138
- Fax
- (626) 332-0433
- NPI assigned
- Feb 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 121039 | CA | Primary |
Addresses
Primary practice location
1085 W Badillo St
Covina, CA 91722-4112
Mailing address
5400 Pomona Blvd
Los Angeles, CA 90022-1717
Phone (323) 837-2133
Other practice location 1
2025 N D St
San Bernardino, CA 92405-3913
Phone (909) 475-8793
Other practice location 2
5400 Pomona Blvd
Los Angeles, CA 90022-1717
Phone (323) 837-2400
Other names 1
- Mannya S. Acosta-Duque
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121039 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PC | Mental Health | Current | Accepting new patients |
| Nuevo Amanecer Latino Children'S Services | Current | Accepting new patients | |
| Wellmind Online Ca Licensed Clinical Social Worker Prof Corp | Clinical | Current | Accepting new patients |
| Nuevo Amanecer Latino Children'S Services | Past | Accepting new patients |
Locations
1085 W Badillo St
Covina, CA 91722
Phone (626) 332-8138
16501 Ventura Blvd
Encino, CA 91436
Phone (818) 356-8106
888 Prospect St
La Jolla, CA 92037
Phone (619) 804-0609
5400 Pomona Blvd
Los Angeles, CA 90022
Phone (323) 720-9951
2100 Geng Rd
Ste 210
Palo Alto, CA 94303
Phone (650) 383-0279
980 9th St
Sacramento, CA 95814
95 3rd St
San Francisco, CA 94103
Phone (414) 640-9090
99 Almaden Blvd
San Jose, CA 95113
Phone (707) 641-6006
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
2450 Colorado Ave
Santa Monica, CA 90404
3558 Round Barn Blvd
Santa Rosa, CA 95403
Phone (707) 571-3754
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- San Jose, CA
- NPI 1154994846
-
- Psychiatry Physician
- Palo Alto, CA
- NPI 1447871272
Clinical
-
- Foster Care Agency
- Covina, CA
- NPI 1477105104
-
- Foster Care Agency
- San Bernardino, CA
- NPI 1922456144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1063005213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 POMONA BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900221717",
"telephone_number": "323-837-2133",
"fax_number": "323-721-2437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1085 W BADILLO ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917224112",
"telephone_number": "626-332-8138",
"fax_number": "626-332-0433"
}
],
"practiceLocations": [
{
"address_1": "2025 N D St",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "924053913",
"country_code": "US",
"telephone_number": "909-475-8793",
"fax_number": "909-886-4958",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5400 Pomona Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900221717",
"country_code": "US",
"telephone_number": "323-837-2400",
"fax_number": "323-721-2437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHARMA",
"first_name": "MANNYA",
"middle_name": "RAJESH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-18",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "121039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MANNYA",
"last_name": "ACOSTA-DUQUE",
"middle_name": "S.",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.