Gloria Polk Manns, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904001947 Issued in VA

Practice address

1604 Roanoke Blvd
Salem, VA 24153-6420

Phone

(540) 375-7620

Fax

(540) 375-7621

NPI assigned

Jul 14, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Clinical Social Worker

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1518983295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 ROANOKE BLVD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241536420",
            "telephone_number": "540-375-7620",
            "fax_number": "540-375-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 ROANOKE BLVD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241536420",
            "telephone_number": "540-375-7620",
            "fax_number": "540-375-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNS",
        "first_name": "GLORIA",
        "middle_name": "POLK",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008946086",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Srinivas R Mallidi, RPH
• Owori Bwire Mang'Eni
• Christine Anne Mangone, OTR/L
• Julie W Manico, DPT, MSPT
• Caroline E Mann, PHD
• Khadija Manssouri, LCSW
• Leonard Jeffrey Marcus, MD
• Kathryn Magruder Marencik, RPH
• Richard M Marencik, RPH
• Jennifer L Mark, M.D.

• Clinical Social Worker in Salem, VA
• Providers in Salem, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.