Active NPI
Nancy Whitman Manire, L C S W
- Social Worker
- Memphis, TN
National Provider Identifier
1619025087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1155
- Practice address
- 2670 Union Ext
Suite 610
Memphis, TN 38112 - Phone
- (901) 458-4000
- Fax
- (901) 458-0048
- NPI assigned
- Jan 8, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1155 | TN | Primary |
Addresses
Primary practice location
2670 Union Ext
Suite 610
Memphis, TN 38112
Mailing address
2670 Union Ext
Suite 610
Memphis, TN 38112
Phone (901) 458-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1155 | Other | TN | LCSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
35 S Auburndale St
Memphis, TN 38104-3916
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Memphis, TN
- NPI 1619042561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619025087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2670 UNION EXT",
"address_2": "SUITE 610",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38112",
"telephone_number": "901-458-4000",
"fax_number": "901-458-0048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2670 UNION EXT",
"address_2": "SUITE 610",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38112",
"telephone_number": "901-458-4000",
"fax_number": "901-458-0048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANIRE",
"first_name": "NANCY",
"middle_name": "WHITMAN",
"name_prefix": "Mrs.",
"credential": "L C S W",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "1155",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "1155",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.