Robert Edward Manrique, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.012855 Issued in IL

Practice address

5419 N Sheridan Rd
Suite 103a
Chicago, IL 60640-1964

Phone

(312) 944-0760

NPI assigned

Jul 25, 2011

Sex

Male

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)

Enrolled

State licenses

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1457639437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 N SHERIDAN RD",
            "address_2": "1514",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401954",
            "telephone_number": "312-218-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 N SHERIDAN RD",
            "address_2": "SUITE 103A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401964",
            "telephone_number": "312-944-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANRIQUE",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-25",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasra Manoocheri
• Thomas G Manos, DDS, MS
• Nikol Manov, DMD
• Mariya Ivanova Manova, DMD
• Miguel Enrique Manrique Palaviccini, MD
• Tiana Marie Manrique, DPT
• Yolanda Manrique, LSW
• Ixtlily Manriquez Elizalde, LCSW
• Rachel Bethany Mansfield
• Aaron D Manshaem, PA-C

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.