Marquita Renee Johnson Manneh, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009452 Issued in NC

Practice address

7419 Knightdale Blvd Ste 110
Knightdale, NC 27545-8825

Phone

(919) 891-0016

NPI assigned

Jul 13, 2013

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

Other names 1

• Renee Johnson Manneh Professional name

Medicare fee-for-service enrollment

Enrolled in NC

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, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Renewed Strength

  • Clinical Social Worker
  • Knightdale, NC
  • NPI 1326525759
  Medicare reassignment NPD Authorized official
• North State Investment Group, LLC

  • Land Ambulance
  • Raleigh, NC
  • NPI 1922045749
  NPD (past)

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

{
    "created_epoch": "1373673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1609217090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7419 KNIGHTDALE BLVD STE 110",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275458825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7419 KNIGHTDALE BLVD STE 110",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275458825",
            "telephone_number": "919-891-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON MANNEH",
        "first_name": "MARQUITA",
        "middle_name": "RENEE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-13",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "MANNEH",
            "middle_name": "JOHNSON",
            "credential": "MSW, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Integrated Journey
• Istay Homecare Services
• Veronica Jackson Medley, LPA
• Kenneth E Jarmon Sr., DR
• Tyler James Jensen, MS, LCMHC, LMHC, NCC
• Jeffrey Lynn Johnson, PSYD
• Nyla Johnson
• Raeanne Tatem Johnson, RN,MSN,CPNP-PC
• Stephen E. Johnson, M.D.
• Patrice Nicole Jones, LPC

• Clinical Social Worker in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.