Grace Elizabeth Mancina

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

30130 Hathaway St
Livonia, MI 48150-3091

Phone

(734) 765-1248

NPI assigned

Jun 27, 2019

Sex

Female

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 MI

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hegira Health IncGroup PAC ID 3173429560, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Hegira Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westland, MI
  • NPI 1184684979

  Social Worker

  Medicare reassignment Care Compare group NPD
• Hegira Health, Inc.

  • Primary Care Clinic/Center
  • Westland, MI
  • NPI 1477141356
  NPD

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1538720602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30130 HATHAWAY ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503091",
            "telephone_number": "734-765-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30130 HATHAWAY ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503091",
            "telephone_number": "734-765-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINA",
        "first_name": "GRACE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atilano Manuelito Mendoza Manalese, RPT
• Keianne Mary Manalese
• Jimmy P Manansala Jr., RPT
• Mary Manaois
• Adam Mancina, BEHAVIOR TECHNICIAN
• Michael A Mandell, MD
• Fawaz Manfoukh
• Warren C Mangulabnan, RPT
• Toby Raju Manimalethu, RPT
• Ajith Rengarajan Manipala, DDS

• Social Worker in Livonia, MI
• Providers in Livonia, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.