Jessica Hadley Manning, LCSW, LCAS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006265 Issued in NC

Practice address

1009 N Lake Park Blvd
Suite B-4
Carolina Beach, NC 28428-7800

Phone

(910) 231-3265

NPI assigned

Sep 26, 2007

Last updated

Apr 28, 2014By 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 1

Medicare fee-for-service enrollment

Enrolled in NC

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seaside Counseling Services, PLLC

  • Clinical Social Worker
  • Carolina Beach, NC
  • NPI 1265888119

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Carolina Beach Counseling, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Carolina Beach, NC
  • NPI 1033557665
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1437346202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 FOXWOOD LN",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284093996",
            "telephone_number": "910-231-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N LAKE PARK BLVD",
            "address_2": "SUITE B-4",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284287800",
            "telephone_number": "910-231-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "JESSICA",
        "middle_name": "HADLEY",
        "name_prefix": "Ms.",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1189",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6111983",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Medical, Inc.
• Brian E. Libonati, OTR/L
• Jeremy Edward Linquist, L.AC.
• Lundy Healthcare PLLC (Carolina Beach Chiropractic)
• Kaitlin Sledge Maertz
• Jeanne L McEvoy
• Vicky Lynne McInnis, PTA
• Margaret M Mensch, LPC
• Christopher B Mercer, P.A.-C
• John Dameron Midgett, PA-C

• Clinical Social Worker in Carolina Beach, NC
• Providers in Carolina Beach, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.