Individual provider Active NPI

Katie Lois McManus, MSW, PPSC, LCSW

  • School Social Worker
  • Oakland, CA
National Provider Identifier
1154514065
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
439006H Issued in WA
Practice address
915 54TH St
Oakland, CA 94608-3142
Phone
(253) 227-1961
NPI assigned
Aug 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 439006H WA Primary

Addresses

Primary practice location

915 54TH St
Oakland, CA 94608-3142

Mailing address

915 54TH St
Oakland, CA 94608-3142
Phone (510) 879-4619

Other practice location 1

4610 Foothill Blvd
Oakland, CA 94601-4618
Phone (510) 879-8881

Other names 1

  • Katie Lois Elmore Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katie.mcmanus@ousd.org Direct

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

LicenseStateTypeSpecialty
439006HWAMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Unified School District CurrentSince Dec 6, 2022 Accepting new patients
Oakland Unified School District CurrentSince Dec 6, 2022 Accepting new patients

Locations

915 54th St
Oakland, CA 94608
Phone (510) 879-5003

Organizations & group practices 2

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": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1154514065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 54TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946083142",
            "telephone_number": "510-879-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 54TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946083142",
            "telephone_number": "253-227-1961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4610 Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946014618",
            "country_code": "US",
            "telephone_number": "510-879-8881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMANUS",
        "first_name": "KATIE",
        "middle_name": "LOIS",
        "name_prefix": "Mrs.",
        "credential": "MSW, PPSC, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "WA",
            "license": "439006H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katie.mcmanus@ousd.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "915 54th St",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946083142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "ELMORE",
            "middle_name": "LOIS",
            "credential": "MSW, PPSC, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.