Individual provider Active NPI

Carey Manza

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1235465998
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0000974 Issued in DE
Practice address
5205 W Woodmill Dr Ste 33LL
Wilmington, DE 19808-4068
Phone
(302) 468-6414
Fax
(302) 231-7886
NPI assigned
Oct 30, 2009
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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 Q1-0000974 DE Primary

Addresses

Primary practice location

5205 W Woodmill Dr Ste 33LL
Wilmington, DE 19808-4068

Mailing address

5205 W Woodmill Dr Ste 33LL
Wilmington, DE 19808-4068
Phone (302) 468-6414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20161026000957 DE Practitioner - Clinical Social Worker 8729366729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5205 W Woodmill Dr
Suite 33LL
Wilmington, DE 19808-4068
Phone (302) 468-6414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0000974DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Harmonious Mind LLC CurrentSince Oct 1, 2016 Accepting new patients
Branch Behavioral Health LLC CurrentSince Mar 2, 2022 Accepting new patients

Locations

5189 W Woodmill Dr
Wilmington, DE 19808
Phone (302) 633-6001

5205 W Woodmill Dr
Ste 33LL
Wilmington, DE 19808
Phone (302) 268-3020

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": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1235465998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 W WOODMILL DR STE 33LL",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084068",
            "telephone_number": "302-468-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 W WOODMILL DR STE 33LL",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084068",
            "telephone_number": "302-468-6414",
            "fax_number": "302-231-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZA",
        "first_name": "CAREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-30",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.