Active NPI
Taanya Mannain, LISW-CP
- Clinical Social Worker
- Little River, SC
National Provider Identifier
1154416097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1150
- Practice address
- 4303 Live Oak Dr
Little River, SC 29566-9138 - Phone
- (843) 663-8000
- Fax
- (843) 663-8123
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 067375 | NY | |
| Clinical Social Worker | 1041C0700X | 1150 | SC | Primary |
Addresses
Primary practice location
4303 Live Oak Dr
Little River, SC 29566-9138
Mailing address
PO Box 547
Little River, SC 29566-0547
Phone (843) 663-8009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00473038 | Medicaid | NY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 067375 | NY | MD | Pharmacist |
| 11500 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457913600000",
"number": "1154416097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 547",
"city": "LITTLE RIVER",
"state": "SC",
"postal_code": "295660547",
"telephone_number": "843-663-8009",
"fax_number": "843-663-8158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4303 LIVE OAK DR",
"city": "LITTLE RIVER",
"state": "SC",
"postal_code": "295669138",
"telephone_number": "843-663-8000",
"fax_number": "843-663-8123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNAIN",
"first_name": "TAANYA",
"credential": "LISW-CP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2016-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "067375",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "1150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00473038",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little River, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.