Michael A Manghera, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 17833 Issued in CA

Practice address

200 W Bullard Ave
Suite F2
Clovis, CA 93612

Phone

(559) 298-3717

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1700981909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W BULLARD AVE STE F2",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936127611",
            "telephone_number": "559-240-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W BULLARD AVE",
            "address_2": "SUITE F2",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "93612",
            "telephone_number": "559-298-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGHERA",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 17833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manish Babaji Malkar, M.D.
• Maria L Mallada, RN
• Shalu Kaur Malli, MD
• Reynaldo Manalo, MS
• Mandala Psychology Inc
• Lendel Maniquiz, PT, CWS
• Melissa Hermoza Manlimos
• Amitasha Mann, M.D.
• Judy Ann Mann, RDHAP
• Savera Mann

• Clinical Social Worker in Clovis, CA
• Providers in Clovis, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.