Sarah Rose Manriquez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2010039512 Issued in MO

Practice address

9 Victory Dr Ste 1a
Liberty, MO 64068-3807

Phone

(816) 368-1126

Fax

(816) 479-2903

NPI assigned

May 4, 2009

Last updated

Jun 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Angel Rose Counseling LLC

  • Clinical Social Worker
  • Liberty, MO
  • NPI 1346855996
  NPD Authorized official

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1407080526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 VICTORY DR STE 1A",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683807",
            "telephone_number": "816-368-1126",
            "fax_number": "816-479-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 VICTORY DR STE 1A",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683807",
            "telephone_number": "816-368-1126",
            "fax_number": "816-479-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANRIQUEZ",
        "first_name": "SARAH",
        "middle_name": "ROSE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-04",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4261",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2010039512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490088140",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200605680A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryann Anne Mallonee, LCSW
• Lucy T Mallya
• Brian Maloney
• Molly Christine Maloney, CCC-SLP
• Jessica Manion
• Sashidhar Manthravadi, MD
• Garrett Mantzey
• Maple Crest Open MRI
• Maple Crest Open MRI
• Keegan Maple

• Clinical Social Worker in Liberty, MO
• Providers in Liberty, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.