Individual provider Active NPI

Victoria Wells-Manlandro, M.S.W.

  • Clinical Social Worker
  • North Wildwood, NJ
National Provider Identifier
1386974988
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00668300 Issued in NJ
Practice address
2301 New York Avenue
North Wildwood, NJ 08260-2523
Phone
(609) 408-6565
Fax
(609) 886-0990
NPI assigned
Jan 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00122200 NJ
Clinical Social Worker 1041C0700X 44SC00668300 NJ Primary

Addresses

Primary practice location

2301 New York Avenue
North Wildwood, NJ 08260-2523

Mailing address

2301 New York Ave
North Wildwood, NJ 08260-2523
Phone (609) 408-6565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050405000431 NJ Practitioner - Clinical Social Worker 6103873856 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00122200NJMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cooperative Care Partnership, Inc. CurrentSince Oct 4, 2022 Accepting new patients
Cooperative Care Partnership, Inc CurrentSince Oct 4, 2022 Accepting new patients
Cooperative Solutions, LLC Current Accepting new patients

Locations

1076 Route 47 S
Rio Grande, NJ 08242
Phone (609) 741-6363

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooperative Care Partnership Inc 5 clinicians

Practice addresses (Care Compare)

1076 Route 47 S
Rio Grande, NJ 08242-1608
Phone (609) 741-6363

NPI Registry JSON

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1386974988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 NEW YORK AVE",
            "city": "NORTH WILDWOOD",
            "state": "NJ",
            "postal_code": "082602523",
            "telephone_number": "609-408-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 NEW YORK AVENUE",
            "city": "NORTH WILDWOOD",
            "state": "NJ",
            "postal_code": "082602523",
            "telephone_number": "609-408-6565",
            "fax_number": "609-886-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS-MANLANDRO",
        "first_name": "VICTORIA",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-04",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00122200",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00668300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wildwood, NJ

Sources for this page

Verify at the official NPI Registry.