Active NPI
Linda M Manchester, MSW
- Clinical Social Worker
- Grand Junction, CO
National Provider Identifier
1487668117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 487
- Practice address
- 2698 Lanai CT
Grand Junction, CO 81506-8615 - Phone
- (970) 242-3505
- Fax
- (970) 242-1091
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 487 | CO | Primary |
Addresses
Primary practice location
2698 Lanai CT
Grand Junction, CO 81506-8615
Mailing address
2698 Lanai CT
Grand Junction, CO 81506-8615
Phone (970) 242-3505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 487 | CO | MD | Primary Podiatric Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1487668117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2698 LANAI CT",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815068615",
"telephone_number": "970-242-3505",
"fax_number": "970-242-1091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2698 LANAI CT",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815068615",
"telephone_number": "970-242-3505",
"fax_number": "970-242-1091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCHESTER",
"first_name": "LINDA",
"middle_name": "M",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.