Active NPI
Eileen Mae Manela, LCSW
- Social Worker
- Litchfield, CT
National Provider Identifier
1669797247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 006480
- Practice address
- 7 West Street
Suite #26
Litchfield, CT 06759-3822 - Phone
- (860) 782-9919
- Fax
- (860) 782-9919
- NPI assigned
- Apr 7, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 006480 | CT | Primary |
| Social Worker | 104100000X | R035042-1 | NY |
Addresses
Primary practice location
7 West Street
Suite #26
Litchfield, CT 06759-3822
Mailing address
19 Blakeslee Road
Litchfield, CT 06759-3822
Phone (860) 782-9919
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 |
|---|---|---|---|
| 006480 | CT | MD | Social Worker |
| R035042-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270598400000",
"number": "1669797247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BLAKESLEE ROAD",
"city": "LITCHFIELD",
"state": "CT",
"postal_code": "067593822",
"telephone_number": "860-782-9919",
"fax_number": "860-782-9919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 WEST STREET",
"address_2": "SUITE #26",
"city": "LITCHFIELD",
"state": "CT",
"postal_code": "067593822",
"telephone_number": "860-782-9919",
"fax_number": "860-782-9919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANELA",
"first_name": "EILEEN",
"middle_name": "MAE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-07",
"last_updated": "2010-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "006480",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "R035042-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Litchfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.