Mangold Enterprise

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MANGOLD ENTERPRISE

Doing business as

Kelli Mangold, LCSW

Practice address

2417 Hobbs Rd Ste 105
Amarillo, TX 79109-1533

Phone

(806) 471-0334

NPI assigned

Mar 16, 2022

Last updated

Mar 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelli Mangold, LCSWNPI 1669921029

Title

Owner

Phone

(806) 471-0334

Specialties & licenses 1

Addresses

Other names 1

• Kelli Mangold, LCSW Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelli Mangold, LCSW

  • Clinical Social Worker
  • Amarillo, TX
  • NPI 1669921029
  NPD Authorized official
• Linda Williams, LCSW, LCDC

  • Clinical Social Worker
  • Amarillo, TX
  • NPI 1982143905
  NPD
• Melissa Preece, LPC

  • Clinical Social Worker
  • Amarillo, TX
  • NPI 1346789575
  NPD (past)

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1477201721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790150271",
            "telephone_number": "806-471-0334",
            "fax_number": "806-318-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 HOBBS RD STE 105",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091533",
            "telephone_number": "806-471-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANGOLD ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "MANGOLD",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-471-0334",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelli Mangold, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nazish Malik, MD
• Jacy Malone, PHARM.D., RPH
• James Brian Malone, D.O.
• Behnaz Mandavi
• Michael S Manderson, MD
• Kelli Mangold, LCSW
• Kaitlyn Mangum, CTRS
• Manju Nath Mdpa
• Matthew Alan Manley, CRNA
• Gregory Glenn Mann, PA-C

• Clinical Social Worker in Amarillo, TX
• Providers in Amarillo, 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 Mar 16, 2022; 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.