Kameron Manley

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW - 33047 Issued in ID

Practice address

1919 Lincoln Way Ste 315
Coeur D Alene, ID 83814

Phone

(208) 625-6000

Fax

(208) 625-6001

NPI assigned

Nov 6, 2013

Last updated

Jan 23, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1477982874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 KOOTENAI HEALTH WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838146051",
            "telephone_number": "208-625-5059",
            "fax_number": "208-625-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 LINCOLN WAY STE 315",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-625-6000",
            "fax_number": "208-625-6001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 E Schneidmiller Ave",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838547085",
            "country_code": "US",
            "telephone_number": "208-619-0190",
            "fax_number": "208-619-0195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "KAMERON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-06",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW - 33047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared M Malone, LMSW
• Benjamin Mandel, M.D.
• Megan Marie Maney, P.T.
• Julia B Mangan, FNP
• Roger Paul Mangum, RPH
• Jamie Joanne Mann, BS
• Michael T Mann, PT
• Ashley Dawn Manning, PA-C
• Sausha Mannon, DENTURIST
• Cathleen Joyce Marceau, LCSW

• Social Worker in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.