Alexis Tanenbaum Mansson, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8860 Issued in SC

Practice address

728 Inlet Dr
Mt Pleasant, SC 29464-4905

Phone

(843) 991-7872

NPI assigned

Jun 14, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Alexis Tanenbaum Mansson Former name

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": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1497076475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 INLET DRIVE",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644905",
            "telephone_number": "843-991-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 INLET DR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294644905",
            "telephone_number": "843-991-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANENBAUM MANSSON",
        "first_name": "ALEXIS",
        "name_prefix": "Ms.",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "8860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "MANSSON",
            "middle_name": "TANENBAUM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandon Sykes, RN
• Darnecia Sylve
• Synergy Health and Wellness Inc
• James David Taggart
• Christi Nicole Takac
• Stafford Dale Tanner, D.M.D. PA
• Teresa Tanner, PTA
• Whitney J Tapp, MA
• Sami Paul Tarabishy, MD
• Karen Lynn Tarpey, MSW

• Clinical Social Worker in Mt Pleasant, SC
• Providers in Mt Pleasant, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.