Active NPI
Allison Marie Manning, MSW
- Social Worker
- Holland, MI
National Provider Identifier
1619613064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6851116704
- Practice address
- 377 Lincoln Ave
Holland, MI 49423-3664 - Phone
- (528) 461-6396
- NPI assigned
- May 9, 2022
- Last updated
- Jan 10, 2024
- 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 | 6851116704 | MI | Primary |
Addresses
Primary practice location
377 Lincoln Ave
Holland, MI 49423-3664
Mailing address
210 Mardell PL SW
Grand Rapids, MI 49504-6237
Phone (269) 491-0369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851116704 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1619613064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 MARDELL PL SW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495046237",
"telephone_number": "269-491-0369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 LINCOLN AVE",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494233664",
"telephone_number": "528-461-6396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "ALLISON",
"middle_name": "MARIE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-09",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6851116704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.