Mickettric Cary Mann, LCSW, MCAP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 12221 Issued in FL

Practice address

6708 Plantation Rd Ste B3
Pensacola, FL 32504-6356

Phone

(850) 207-7085

Fax

(850) 465-3255

NPI assigned

Sep 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Center for Compassionate Care, LLCGroup PAC ID 5890126031, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• The Center for Compassionate Care, LLC

  • Mental Health Counselor
  • Pensacola, FL
  • NPI 1992343172
  Medicare reassignment Care Compare group NPD Authorized official
• Purposeful Change LLC

  • Clinical Social Worker
  • Pensacola, FL
  • NPI 1245019066
  NPD

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1427450105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 PLANTATION RD STE B3",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046216",
            "telephone_number": "850-207-7085",
            "fax_number": "850-465-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6708 PLANTATION RD STE B3",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046356",
            "telephone_number": "850-207-7085",
            "fax_number": "850-465-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "MICKETTRIC",
        "middle_name": "CARY",
        "name_prefix": "Mrs.",
        "credential": "LCSW, MCAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "12221",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 12221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neela G Mani, M.D.
• Dhivyaa Manickam
• Peter Michael Manis, M. D.
• Edwin Manley Jr., M.D.
• Amanda Jo Mann, M.S., BCBA
• Melanie Manney, APRN
• Manning Hanline, Jr., M.D.
• Christin Abigail Manning
• Dean B Manning, DMD
• Hunter Glenn Manning

• Clinical Social Worker in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.