Active NPI
Debora Hughes McManus, LCSW
- Clinical Social Worker
- Pleasant Hill, CA
National Provider Identifier
1366640872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18920
- Practice address
- 3490 Buskirk Ave Ste a
Pleasant Hill, CA 94523-4339 - Phone
- (415) 260-1190
- Fax
- (925) 935-2376
- NPI assigned
- Jul 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 18920 | CA | Primary |
Addresses
Primary practice location
3490 Buskirk Ave Ste a
Pleasant Hill, CA 94523-4339
Mailing address
1595 Pleasant Hill Rd
Lafayette, CA 94549-2216
Phone (415) 260-1190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11713117 | Other | CA | CAQH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18920 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366640872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1595 PLEASANT HILL RD",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945492216",
"telephone_number": "415-260-1190",
"fax_number": "925-935-2376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3490 BUSKIRK AVE STE A",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945234339",
"telephone_number": "415-260-1190",
"fax_number": "925-935-2376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMANUS",
"first_name": "DEBORA",
"middle_name": "HUGHES",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "18920",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11713117",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.