Individual provider Active NPI

Angela Kathryn McManus, L.C.S.W

  • Clinical Social Worker
  • Destin, FL
National Provider Identifier
1255483129
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW1775 Issued in FL
Practice address
4507 Furling LN Ste 212
Destin, FL 32541-5343
Phone
(850) 830-0123
NPI assigned
Jan 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SW1775 FL Primary

Addresses

Primary practice location

4507 Furling LN Ste 212
Destin, FL 32541-5343

Mailing address

PO Box 2418
Santa Rosa Beach, FL 32459-2418
Phone (850) 830-8340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100820000497 FL Practitioner - Clinical Social Worker 7214061696 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michael McManus Associates PAGroup PAC ID 1254491897, 2 clinicians
Bay Area Psychological ConsultantsGroup PAC ID 3779675756, 7 clinicians

Practice addresses (Care Compare)

1417 Partin Dr N
Suite 1
Niceville, FL 32578-1426
Phone (850) 729-0303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael McManus Associates PA CurrentSince Jan 1, 1995 Accepting new patients
Bay Area Psychological Consultants CurrentSince Sep 20, 2011 Accepting new patients
McManus& Associates Clinical Past Accepting new patients

Locations

4507 Furling Ln
Ste 212
Destin, FL 32541
Phone (850) 226-7100

12598 US Highway 98 W
Unit 201
Miramar Beach, FL 32550
Phone (850) 654-8878

1417 Partin Dr N
Ste 1
Niceville, FL 32578
Phone (850) 729-0303

Organizations & group practices 3

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255483129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2418",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324592418",
            "telephone_number": "850-830-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 FURLING LN STE 212",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415343",
            "telephone_number": "850-830-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANUS",
        "first_name": "ANGELA",
        "middle_name": "KATHRYN",
        "credential": "L.C.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW1775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

Verify at the official NPI Registry.