Active NPI
Manley Morrison III, LMSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1104368133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 088381
- Practice address
- 1545 Atlantic Avenue
Brooklyn, NY 11213 - Phone
- (718) 613-7260
- Fax
- (718) 613-4381
- NPI assigned
- Nov 8, 2016
- Sex
- Male
- 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 | 088381 | NY | Primary |
Addresses
Primary practice location
1545 Atlantic Avenue
Brooklyn, NY 11213
Mailing address
1545 Atlantic Avenue
Brooklyn, NY 11213
Phone (718) 613-7260
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 088381 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478563200000",
"number": "1104368133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 ATLANTIC AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11213",
"telephone_number": "718-613-7260",
"fax_number": "718-613-4381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 ATLANTIC AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11213",
"telephone_number": "718-613-7260",
"fax_number": "718-613-4381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON",
"first_name": "MANLEY",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-08",
"last_updated": "2016-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "088381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.