Marcey Mansolillo, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60200505 Issued in WA

Practice address

909 Harris Ave Ste 201D
Bellingham, WA 98225-7080

Phone

(360) 319-6723

NPI assigned

Aug 2, 2011

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1184902546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 HARRIS AVE STE 201D",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 HARRIS AVE STE 201D",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257080",
            "telephone_number": "360-319-6723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 E Holly St Ste 422",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982254742",
            "country_code": "US",
            "telephone_number": "360-319-6723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSOLILLO",
        "first_name": "MARCEY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60200505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moses Mohandas Manning
• Claire Elaine Mannino, M.S.
• Gabriel F Mannino, CL61334647
• Elsa Katherine Mansfield
• Sara Manske, RN, BSN, IBCLC
• Timothy M Manzo, D.O.
• Katrina Maple
• Sean Marcella, DC
• Marcus a Fairbanks DDS & Darcy R Galbraith,
• Patricia A Marek, PHD

• Clinical Social Worker in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.