Individual provider Active NPI

Deborah J Manley, MSW

  • Clinical Social Worker
  • Toms River, NJ
National Provider Identifier
1063601557
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04312200 Issued in NJ
Practice address
520 Main St
Toms River, NJ 08753-7444
Phone
(732) 557-4422
Fax
(732) 557-4422
NPI assigned
Oct 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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 44SC04312200 NJ Primary

Addresses

Primary practice location

520 Main St
Toms River, NJ 08753-7444

Mailing address

520 Main St
Toms River, NJ 08753-7444
Phone (732) 557-4422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20040806000342 NJ Practitioner - Clinical Social Worker 6204808744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

520 Main St
Toms River, NJ 08753-7420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04312200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Behavioral Healthcare, LLC Clinical CurrentSince Sep 1, 2000 Accepting new patients

Locations

520 Main St
Toms River, NJ 08753
Phone (732) 551-2051

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1063601557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MAIN ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537444",
            "telephone_number": "732-557-4422",
            "fax_number": "732-557-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MAIN ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537444",
            "telephone_number": "732-557-4422",
            "fax_number": "732-557-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "DEBORAH",
        "middle_name": "J",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04312200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.