Stacey McManus, LICSW, PIP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3981C Issued in AL

Practice address

14 Michael Cir NE
Fort Payne, AL 35967-7617

Phone

(256) 630-3340

NPI assigned

Jun 26, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1487094249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MICHAEL CIR NE",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359677617",
            "telephone_number": "256-630-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MICHAEL CIR NE",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359677617",
            "telephone_number": "256-630-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANUS",
        "first_name": "STACEY",
        "credential": "LICSW, PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3981C",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Paige McCullough
• Laura Burdette McFall, CRNA
• Thomas Roy McFarland, M.D.
• Bradley Joe McGee
• April Leigh McKissick, O.D
• Jacy Lee McPherson
• Melissa Muller McQuade
• Mary Elizabeth Meadows, RD
• Med Care LLC
• Med-South, Inc.

• Clinical Social Worker in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.