Individual provider Active NPI

Justin Harrison McManus, LCSW

  • Clinical Social Worker
  • North Palm Beach, FL
National Provider Identifier
1083755391
Registry record updated May 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8168 Issued in FL
Practice address
1201 US 1
Suite 225
North Palm Beach, FL 33408-3550
Phone
(561) 459-0621
Fax
(561) 290-1803
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2015

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 SW8168 FL Primary

Addresses

Primary practice location

1201 US 1
Suite 225
North Palm Beach, FL 33408-3550

Mailing address

1201 US 1
Suite 225
North Palm Beach, FL 33408-3550
Phone (561) 459-0621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110419000249 FL Practitioner - Clinical Social Worker 4082899976 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone Counseling of Palm Beach PAGroup PAC ID 9234439019, 7 clinicians

Practice addresses (Care Compare)

1201 US Hwy 1
Suite 330
North Palm Beach, FL 33408-8508
Phone (561) 472-0397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Access Counseling & Supportive Services, LLC Clinical CurrentSince Dec 21, 2017 Accepting new patients
Cotler Healthcare & Development Inc. CurrentSince Nov 6, 2019 Accepting new patients
Ultima Rehab-FL LLC PastSince May 29, 2019 Accepting new patients

Locations

9555 SE Federal Hwy
Hobe Sound, FL 33455
Phone (386) 255-1054

901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109

9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467

390 Pondella Rd
Ste 9
North Ft Myers, FL 33903
Phone (239) 652-0260

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.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431129600000",
    "number": "1083755391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 US 1",
            "address_2": "SUITE 225",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083550",
            "telephone_number": "561-459-0621",
            "fax_number": "561-290-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 US 1",
            "address_2": "SUITE 225",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083550",
            "telephone_number": "561-459-0621",
            "fax_number": "561-290-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANUS",
        "first_name": "JUSTIN",
        "middle_name": "HARRISON",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2015-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.