Joshua Michael Manguno, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15767 Issued in LA

Practice address

1505 N Florida St
Covington, LA 70433-1544

Phone

(985) 900-1626

Fax

(985) 867-1768

NPI assigned

Feb 18, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Start Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houma, LA
  • NPI 1700156866
  Medicare reassignment NPD
• Start Corporation

  • Federally Qualified Health Center (FQHC)
  • Mandeville, LA
  • NPI 1346712957
  NPD

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1508459868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 N FLORIDA ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704331544",
            "telephone_number": "985-900-1626",
            "fax_number": "985-867-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 N FLORIDA ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704331544",
            "telephone_number": "985-900-1626",
            "fax_number": "985-867-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUNO",
        "first_name": "JOSHUA",
        "middle_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-18",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "15767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlynn Volpe Mahoney, PHARMD
• Faizan Iqbal Malik, MD
• Christel Cary Malinski, MD
• Harvey L Malone, MD
• Mandeville Private Physician Group
• Kelsey Hershey Manguno, MD
• Mistina Mano Manoharan
• Cyrus Jon Mansouri, DDS
• Laiyatu E. B. Manya, PSYD
• Demetrius M Maraganore, M.D.

• Clinical Social Worker in Covington, LA
• Providers in Covington, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.