Individual provider Active NPI

Melissa Amber Manix, MSW, LICSW

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1366684375
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
020704SW40002165 Issued in WA
Practice address
100 W Harrison St
South Tower, Suite 330
Seattle, WA 98119-4116
Phone
(206) 283-3000
NPI assigned
Apr 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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 020704SW40002165 WA Primary

Addresses

Primary practice location

100 W Harrison St
South Tower, Suite 330
Seattle, WA 98119-4116

Mailing address

100 W Harrison St
South Tower, Suite 330
Seattle, WA 98119-4116
Phone (206) 283-3000

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
020704SW40002165WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1366684375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W HARRISON ST",
            "address_2": "SOUTH TOWER, SUITE 330",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981194116",
            "telephone_number": "206-283-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W HARRISON ST",
            "address_2": "SOUTH TOWER, SUITE 330",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981194116",
            "telephone_number": "206-283-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIX",
        "first_name": "MELISSA",
        "middle_name": "AMBER",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "020704SW40002165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.