Individual provider Active NPI

Catharine Manzo, LMSW, CAC-1

  • Clinical Social Worker
  • Brighton, MI
National Provider Identifier
1356541379
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801058628 Issued in MI
Practice address
7960 Grand River Rd
Suite 110
Brighton, MI 48114-7330
Phone
(810) 844-7300
Fax
(810) 844-7333
NPI assigned
Jul 18, 2007
Last updated
Jul 18, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 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 6801058628 MI Primary

Addresses

Primary practice location

7960 Grand River Rd
Suite 110
Brighton, MI 48114-7330

Mailing address

7960 Grand River Rd
Suite 110
Brighton, MI 48114-7330
Phone (810) 844-7300

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
6801058628MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1356541379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 GRAND RIVER RD",
            "address_2": "SUITE 110",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147330",
            "telephone_number": "810-844-7300",
            "fax_number": "810-844-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 GRAND RIVER RD",
            "address_2": "SUITE 110",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147330",
            "telephone_number": "810-844-7300",
            "fax_number": "810-844-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZO",
        "first_name": "CATHARINE",
        "credential": "LMSW, CAC-1",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801058628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.