Active NPI
Debra J Manchester, MSW
- Clinical Social Worker
- Santa Barbara, CA
National Provider Identifier
1114075868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LR9847
- Practice address
- 111 E Arrellaga St
Santa Barbara, CA 93101-1903 - Phone
- (805) 882-2400
- NPI assigned
- Jan 8, 2007
- 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 | LR9847 | CA | Primary |
Addresses
Primary practice location
111 E Arrellaga St
Santa Barbara, CA 93101-1903
Mailing address
111 E Arrellaga St
Santa Barbara, CA 93101-1903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 7, 2021 through Sep 7, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LR9847 | CA | MD | Clinical Social Worker |
| 9847 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247702400000",
"number": "1114075868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E ARRELLAGA ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931011903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E ARRELLAGA ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931011903",
"telephone_number": "805-882-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCHESTER",
"first_name": "DEBRA",
"middle_name": "J",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2009-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LR9847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.