Individual provider Active NPI

Cheyanne Marshall Manzione, MSW

  • Social Worker
  • Edgewater, FL
National Provider Identifier
1679098933
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
17499 Issued in FL
Practice address
3227 Umbrella Tree Dr
Edgewater, FL 32141-6518
Phone
(386) 864-2601
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Social Worker 104100000X 17499 FL Primary

Addresses

Primary practice location

3227 Umbrella Tree Dr
Edgewater, FL 32141-6518

Mailing address

3227 Umbrella Tree Dr
Edgewater, FL 32141-6518
Phone (386) 864-2601

Other names 1

  • Cheyanne Elizbeth Marshall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17499FLMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1679098933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3227 UMBRELLA TREE DR",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321416518",
            "telephone_number": "386-864-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3227 UMBRELLA TREE DR",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321416518",
            "telephone_number": "386-864-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZIONE",
        "first_name": "CHEYANNE",
        "middle_name": "MARSHALL",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "17499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHEYANNE",
            "last_name": "MARSHALL",
            "middle_name": "ELIZBETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edgewater, FL

Sources for this page

Verify at the official NPI Registry.