Patricia Mary Mangiardi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2011028760 Issued in MO

Practice address

665 S Skinker Blvd
#20-C
Saint Louis, MO 63105-2300

Phone

(907) 235-6720

NPI assigned

Apr 19, 2007

Last updated

Jul 5, 2012By the provider in NPPES

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1578780003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 S SKINKER BLVD",
            "address_2": "#20-C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052300",
            "telephone_number": "907-235-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 S SKINKER BLVD",
            "address_2": "#20-C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052300",
            "telephone_number": "907-235-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGIARDI",
        "first_name": "PATRICIA",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2011028760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Mangano, SLP
• Ami Mange
• Carole Campbell Mange, AU.D.
• Thomas Kelly Mangelsdorf, M.D.
• Jayne Marie Mangi, WHNP
• Parth Mangrola, DMD
• Ashwin Mani, M.D.
• Mary Elizabeth Mani, M.D.
• Naganathan Bhagvathy Mani, MD
• Olivia Mani, MAT, ATC, LAT

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.