Melisa Fortin Manninen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

103422 Issued in TX

Practice address

1122 Via SE Villa
San Antonio, TX 78260-4200

Phone

(240) 460-0034

NPI assigned

Nov 7, 2023

Last updated

Nov 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Yoopers Lead the Way, PLLC

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1881522100
  NPD Authorized official

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1427821826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 VIA SE VILLA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782604200",
            "telephone_number": "240-460-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 VIA SE VILLA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782604200",
            "telephone_number": "240-460-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTIN MANNINEN",
        "first_name": "MELISA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "103422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aletheia Marie Fort
• Forte Physical Therapy
• Forte Rehabilitation and Wellness Center, Inc
• Phillip L Fortenberry, M.D
• Fortify Physical Therapy and Wellness LLC
• Amanda Haley Fortin, MD
• Fortitude Care Management, LLC
• Fortitude Psychotherapy
• Linda K Fortmeier-Saucier, FNP
• Claudia Fortunatti, RN

• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.