Individual provider Active NPI

Maria Anthy Manukas

  • Clinical Social Worker
  • Darien, CT
National Provider Identifier
1346616992
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10808 Issued in CT
Practice address
85 Old Kings Hwy N Ste 1a
Darien, CT 06820-4732
Phone
(475) 333-1568
NPI assigned
Aug 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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 10808 CT Primary

Addresses

Primary practice location

85 Old Kings Hwy N Ste 1a
Darien, CT 06820-4732

Mailing address

85 Old Kings Hwy N Ste 1a
Darien, CT 06820-4732
Phone (475) 333-1568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10808CTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1346616992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 OLD KINGS HWY N STE 1A",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204732",
            "telephone_number": "475-333-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 OLD KINGS HWY N STE 1A",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204732",
            "telephone_number": "475-333-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUKAS",
        "first_name": "MARIA",
        "middle_name": "ANTHY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.