Carissa Anne Manaro, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P005545 Issued in NC

Practice address

8390 Six Forks Rd
Raleigh, NC 27615-3060

Phone

(919) 782-8730

NPI assigned

Jan 23, 2013

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

• Carissa Anne Struk Other 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": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1508104787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153060",
            "telephone_number": "919-782-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153060",
            "telephone_number": "919-782-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANARO",
        "first_name": "CARISSA",
        "middle_name": "ANNE",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P005545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARISSA",
            "last_name": "STRUK",
            "middle_name": "ANNE",
            "credential": "LCSWA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Danielle Victoria Mamola, CRNA
• Man in the Mirror Therapeutic Services
• Management Consultants Pro LLC
• Management Consultants Pro. LLC
• Ureena Manandhar, M.B.B.S.
• Anton Travis Manasco, MD
• Kevin Manbeck, MS, RDN, LDN
• Holly Manchi
• Destiny Mancil
• Gianna Mancini

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

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

Verify at the official NPI Registry.