Individual provider Active NPI

Michael Norman McManus, LCSW

  • Clinical Social Worker
  • Miramar Beach, FL
National Provider Identifier
1487814182
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 1774 Issued in FL
Practice address
12598 US Highway 98 W
Unit 201
Miramar Beach, FL 32550-2103
Phone
(850) 837-0123
Fax
(850) 650-2062
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW 1774 FL Primary

Addresses

Primary practice location

12598 US Highway 98 W
Unit 201
Miramar Beach, FL 32550-2103

Mailing address

PO Box 2418
Santa Rosa Beach, FL 32459-2418
Phone (850) 837-0123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081128000026 FL Practitioner - Clinical Social Worker 7618037250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael McManus Associates PAGroup PAC ID 1254491897, 2 clinicians

Practice addresses (Care Compare)

12598 Emerald Coast Pkwy W
Unit 201
Miramar Beach, FL 32550-2103
Phone (850) 837-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 1774FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michael McManus Associates PA CurrentSince Sep 29, 2007 Accepting new patients
McManus& Associates Clinical Past Accepting new patients
Bayside Psychology Services, LLC Past Accepting new patients

Locations

4507 Furling Ln
Ste 212
Destin, FL 32541
Phone (850) 226-7100

12598 US Highway 98 W
Unit 201
Miramar Beach, FL 32550
Phone (850) 654-8878

1417 Partin Dr N
Ste 1
Niceville, FL 32578
Phone (850) 729-0303

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1487814182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2418",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324592418",
            "telephone_number": "850-837-0123",
            "fax_number": "850-650-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12598 US HIGHWAY 98 W",
            "address_2": "UNIT 201",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325502103",
            "telephone_number": "850-837-0123",
            "fax_number": "850-650-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANUS",
        "first_name": "MICHAEL",
        "middle_name": "NORMAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 1774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar Beach, FL

Sources for this page

Verify at the official NPI Registry.