Mandala Clinical, LLC.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MANDALA CLINICAL, LLC.

Practice address

236 N Pennsylvania Ave
Wichita, KS 67214-4149

Phone

(316) 734-5223

Fax

(316) 494-6348

NPI assigned

Aug 7, 2024

Organization subpart

No

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

Authorized official

Name

Chelsea Jackson, LMSWNPI 1184966459

Title

Clinical Manager

Phone

(316) 734-5223

Specialties & licenses 1

Addresses

Other names 1

• Mandala Community, LLC. Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chelsea M Jackson, LMSW

  • Social Worker
  • Wichita, KS
  • NPI 1184966459
  NPD Authorized official

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1336979863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 N PENNSYLVANIA AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144149",
            "telephone_number": "316-734-5223",
            "fax_number": "316-494-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 N PENNSYLVANIA AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144149",
            "telephone_number": "316-734-5223",
            "fax_number": "316-494-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDALA CLINICAL, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "316-734-5223",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mandala Community, LLC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mina Manahan
• Jesus Manapsal Jr., PT
• Ronald Royce Manasco, MD
• Manatee Care P.a
• Sheri Manchester, LMSW-T
• Mandala Community LLC
• Christos E Mandanis, MD
• Jenifer Mandeville, COTA
• Mia S Manfredi, ARNP
• Dawn Mangrum

• Clinical Social Worker in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.