Karin Ilse Manger, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS14862 Issued in CA

Practice address

10801 National Blvd Ste 221
Los Angeles, CA 90064-4146

Phone

(310) 473-3200

NPI assigned

Jan 20, 2020

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

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": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1538799499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 NATIONAL BLVD STE 221",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900644146",
            "telephone_number": "310-473-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 NATIONAL BLVD STE 221",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900644146",
            "telephone_number": "310-473-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Fremont Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "CA",
            "postal_code": "910305704",
            "country_code": "US",
            "telephone_number": "310-473-3200 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGER",
        "first_name": "KARIN",
        "middle_name": "ILSE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS14862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Nazanine Manesh
• Sohail Jacob Khalil Manesh, PHARMD
• Andrew Maneval, MD
• Katrina Mangan
• Robert E. Mangel, MD
• Michael Mangers
• Jenna Mangiagli
• Maegan Mangilog, OTR/L
• Psyche Joyce Mangilog, RN
• Carol Marie Mangione, MD

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.