Corynn Manske, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60940908 Issued in WA

Practice address

1403 S Grand Blvd Ste 101S
Spokane, WA 99203-2272

Phone

(208) 413-2442

NPI assigned

Jun 9, 2019

Last updated

Oct 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1255990701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 N RIVER VISTA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992245675",
            "telephone_number": "208-413-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 S GRAND BLVD STE 101S",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032272",
            "telephone_number": "208-413-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSKE",
        "first_name": "CORYNN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-09",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60940908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dharmini Manogna, MD
• Michelle D Manoguerra, RN
• Manor Care of Spokane Wa, Association (ProMedica Skilled Nursing and Rehabilitation (Spokane))
• Karyn Manor, ARNP
• Luis Rene Manriquez, MD
• Thomas J Manson, LMP
• Faith Mantell
• Cynthia Manycolors, CDP
• Monica C Manza
• Yi Mao, MBBS

• Clinical Social Worker in Spokane, WA
• Providers in Spokane, 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 30, 2019; 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.