Individual provider Active NPI

Kalyn M Manzo, LCSW

  • Clinical Social Worker
  • Point Pleasant Boro, NJ
National Provider Identifier
1700760915
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05690000 Issued in NJ
Practice address
1503 Wildwood Ave
Point Pleasant Boro, NJ 08742-4256
Phone
(732) 598-6528
NPI assigned
Aug 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05690000 NJ Primary

Addresses

Primary practice location

1503 Wildwood Ave
Point Pleasant Boro, NJ 08742-4256

Mailing address

1503 Wildwood Ave
Point Pleasant Boro, NJ 08742-4256
Phone (732) 598-6528

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

LicenseStateTypeSpecialty
44SC05690000NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1700760915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 WILDWOOD AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087424256",
            "telephone_number": "732-598-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 WILDWOOD AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087424256",
            "telephone_number": "732-598-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZO",
        "first_name": "KALYN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05690000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant Boro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.