Individual provider Active NPI

Elena Annie Manucharyan, LCSW #115661

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1396218913
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
115661 Issued in CA
Practice address
4862 E Clinton Ave
Fresno, CA 93703-2873
Phone
(559) 801-4867
NPI assigned
Jan 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 115661 CA Primary

Addresses

Primary practice location

4862 E Clinton Ave
Fresno, CA 93703-2873

Mailing address

1823 E Quincy Ave
Fresno, CA 93720-2354
Phone (559) 269-0416

Other practice location 1

209 E 7th St
Madera, CA 93638-3780
Phone (350) 855-9673

Other practice location 2

5610 W Donner Ave
Fresno, CA 93722-3721
Phone (559) 352-0860

Other practice location 3

3894 E Gettysburg Ave
Fresno, CA 93726-0901
Phone (559) 801-4867

Other practice location 4

3455 W Shaw Ave Ste 107
Fresno, CA 93711-3201
Phone (559) 515-6180

Other practice location 5

3455 W Shaw Ave Ste 107
Fresno, CA 93711-3201
Phone (559) 515-6180

Other practice location 6

4324 W Harvard Ave
Fresno, CA 93722-5183
Phone (559) 269-0416

Other practice location 7

7658 N Santa Fe Ave
Fresno, CA 93722-2391
Phone (559) 515-6914

Other practice location 8

3043 W Roberts Ave
Fresno, CA 93711-2160
Phone (559) 999-4820

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
115661CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elenka CurrentSince May 1, 2025 Accepting new patients
Manuch Inc. CurrentSince Nov 1, 2020 Accepting new patients
Manuch Inc. PastSince Mar 5, 2023 Accepting new patients
Manuch Inc. PastSince Feb 8, 2023 Accepting new patients

Locations

3455 W Shaw Ave
Ste 107
Fresno, CA 93711
Phone (559) 500-2616

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1396218913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 E QUINCY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202354",
            "telephone_number": "559-269-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4862 E CLINTON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937032873",
            "telephone_number": "559-801-4867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 E 7th St",
            "address_purpose": "LOCATION",
            "city": "Madera",
            "state": "CA",
            "postal_code": "936383780",
            "country_code": "US",
            "telephone_number": "350-855-9673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5610 W Donner Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937223721",
            "country_code": "US",
            "telephone_number": "559-352-0860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3894 E Gettysburg Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937260901",
            "country_code": "US",
            "telephone_number": "559-801-4867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3455 W Shaw Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113201",
            "country_code": "US",
            "telephone_number": "559-515-6180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3455 W Shaw Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113201",
            "country_code": "US",
            "telephone_number": "559-515-6180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4324 W Harvard Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937225183",
            "country_code": "US",
            "telephone_number": "559-269-0416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7658 N Santa Fe Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937222391",
            "country_code": "US",
            "telephone_number": "559-515-6914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3043 W Roberts Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937112160",
            "country_code": "US",
            "telephone_number": "559-999-4820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANUCHARYAN",
        "first_name": "ELENA",
        "middle_name": "ANNIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW #115661",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "115661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.