Individual provider Active NPI

Brian Manjarrez

  • School Social Worker
  • Wheaton, IL
National Provider Identifier
1184532137
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
150.107689 Issued in IL
Practice address
222 E Willow Ave
Wheaton, IL 60187-5426
Phone
(630) 784-4800
NPI assigned
Aug 31, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041S0200X 150.107689 IL Primary

Addresses

Primary practice location

222 E Willow Ave
Wheaton, IL 60187-5426

Mailing address

222 E Willow Ave
Wheaton, IL 60187-5426
Phone (630) 784-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1184532137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E WILLOW AVE",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875426",
            "telephone_number": "630-784-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E WILLOW AVE",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875426",
            "telephone_number": "630-784-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANJARREZ",
        "first_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, School",
            "state": "IL",
            "license": "150.107689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.