Individual provider Active NPI

Anne Marie Mangold, LCSW

  • Clinical Social Worker
  • Florence, KY
National Provider Identifier
1720136286
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0984 Issued in KY
Practice address
7000 Houston Rd
BLDG. 300, Suite 29
Florence, KY 41042-4873
Phone
(859) 746-9272
Fax
(859) 746-9322
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 0984 KY Primary

Addresses

Primary practice location

7000 Houston Rd
BLDG. 300, Suite 29
Florence, KY 41042-4873

Mailing address

7000 Houston Rd
BLDG. 300, Suite 29
Florence, KY 41042-4873
Phone (859) 746-9272

Other practice location 1

800 Compton Rd Unit 12
Cincinnati, OH 45231-3846
Phone (513) 521-3175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120215000853 KY Practitioner - Clinical Social Worker 2264419225 Reassigns benefits to 1 organization
I20231115003062 OH Practitioner - Clinical Social Worker 2264419225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Positive Pathways LLCGroup PAC ID 8820075880, 3 clinicians

Practice addresses (Care Compare)

6900 Houston Rd
Suite 8
Florence, KY 41042-4891
Phone (859) 746-9272

800 Compton Rd
Unit 11
Cincinnati, OH 45231-3846
Phone (513) 521-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0984KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shiny Triangle LCSW PC Clinical CurrentSince Nov 8, 2023 Accepting new patients
Positive Pathways LLC CurrentSince Jul 11, 2000 Accepting new patients
Bee Well Health and Wellness LLC CurrentSince Sep 29, 2024 Accepting new patients

Locations

6900 Houston Rd
Ste 8
Florence, KY 41042
Phone (859) 512-0477

254 Old Nyack Tpke
Spring Valley, NY 10977
Phone (800) 747-4226

800 Compton Rd
Unit 12
Cincinnati, OH 45231
Phone (513) 521-3175

800 Compton Rd
Unit 11
Cincinnati, OH 45231
Phone (513) 521-3175

1171 Towne St
Cincinnati, OH 45216
Phone (513) 242-1360

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1720136286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 HOUSTON RD",
            "address_2": "BLDG. 300, SUITE 29",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424873",
            "telephone_number": "859-746-9272",
            "fax_number": "859-746-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 HOUSTON RD",
            "address_2": "BLDG. 300, SUITE 29",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424873",
            "telephone_number": "859-746-9272",
            "fax_number": "859-746-9322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Compton Rd Unit 12",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452313846",
            "country_code": "US",
            "telephone_number": "513-521-3175",
            "fax_number": "513-521-3477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGOLD",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "0984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.