Manda Lea Kingsley, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

15345 Issued in TN

Practice address

3917 Volunteer Dr Ste 121
Chattanooga, TN 37416-3885

Phone

(423) 541-4187

NPI assigned

Feb 10, 2020

Last updated

May 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Camelot Care Centers, LLC

  dba Clarvida

  • Community/Behavioral Health Agency
  • Nashville, TN
  • NPI 1831397645
  NPD
• Fortwood Center, Inc.

  • Community/Behavioral Health Agency
  • Chattanooga, TN
  • NPI 1912134057
  NPD (past)

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1134751985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 VOLUNTEER DR STE 121",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374163885",
            "telephone_number": "423-541-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 VOLUNTEER DR STE 121",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374163885",
            "telephone_number": "423-541-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSLEY",
        "first_name": "MANDA",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "15345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne J King, CRNA
• Elizabeth Witty King
• Forrest A. King, FNP
• Janet King, LMFT
• Megan Noel King
• Kilton D Kingsman, M.D.
• Kingwood Pharmacy (Kingwood Medical Equip)
• Kingwood Pharmacy Inc (Kingwood Pharmacy)
• Ivy Kinkade, SLP-CCC
• Deloris A Kinnaird, M.A.

• Social Worker in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.