Individual provider Active NPI

Lindsey Manza

  • Clinical Social Worker
  • Canton, MI
National Provider Identifier
1174998454
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801092753 Issued in MI
Practice address
50430 School House Rd
Suite 100
Canton, MI 48187-5910
Phone
(734) 891-0215
NPI assigned
Dec 11, 2015
Last updated
Dec 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801092753 MI Primary

Addresses

Primary practice location

50430 School House Rd
Suite 100
Canton, MI 48187-5910

Mailing address

50430 School House Rd
Suite 100
Canton, MI 48187-5910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260421002587 MI Practitioner - Clinical Social Worker 2860968377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

271 S Main St
Plymouth, MI 48170-1637

50430 School House Rd
Suite 100
Canton, MI 48187-5910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801092753MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Growth Works, Inc CurrentSince Apr 1, 2026 Accepting new patients
Growth Works Inc. PastSince Apr 1, 2026 Accepting new patients

Locations

50430 School House Rd
Canton, MI 48187
Phone (734) 495-1722

50430 School House Rd
Ste 100
Canton, MI 48187
Phone (734) 495-1722

271 S Main St
Plymouth, MI 48170
Phone (734) 320-7345

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1174998454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50430 SCHOOL HOUSE RD",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481875910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50430 SCHOOL HOUSE RD",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481875910",
            "telephone_number": "734-891-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZA",
        "first_name": "LINDSEY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.