Individual provider Active NPI

Lakesha Manuel, LCSWA

  • Clinical Social Worker
  • Raeford, NC
National Provider Identifier
1265818371
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P009929 Issued in NC
Practice address
112 E Elwood Ave
Raeford, NC 28376-2921
Phone
(910) 848-1924
NPI assigned
Jul 31, 2015
Last updated
Jul 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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 P009929 NC Primary

Addresses

Primary practice location

112 E Elwood Ave
Raeford, NC 28376-2921

Mailing address

204 Franklin Rd
Raeford, NC 28376-8805
Phone (910) 527-1967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250418001079 NC Practitioner - Mental Health Counselor 2961927215 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P009929NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A.R.C. Counseling and Consulting Services Clinical CurrentSince Jul 21, 2024 Accepting new patients
A.R.C. Counseling and Consulting Services Clinical CurrentSince Jan 5, 2025 Accepting new patients

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": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1265818371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 FRANKLIN RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283768805",
            "telephone_number": "910-527-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E ELWOOD AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762921",
            "telephone_number": "910-848-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "LAKESHA",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

Verify at the official NPI Registry.